Baidu
map

良性形态肺结节有增大,考虑什么?

2021-08-23 中山医院 张勇 肺结节前沿

病例:老年女性65岁,不吸烟,肺结节1年随访,本次为右肺实性结节约9mm来诊。

老年女性65岁,不吸烟,肺结节1年随访,本次为右肺实性结节约9mm来诊。

为叶间裂周围结节,形态为典型的良性表现。

边界较为光滑:

结节位于叶间裂,延伸为条索影:

虽然显示为典型良性表现,但是对比1年前的CT,显示结节为有轻微增大,当时为6mm:

对于磨玻璃结节或混杂磨玻璃结节,1年缓慢增大,基本可以考虑为恶性。

但是实性结节增大,却要分情况分析。该结节尽管有所增大,但是形态仍然为典型良性的慢性炎症形态,考虑良性可能。而且这个位置为叶间裂中央,是很容易产生陈旧性结节的。

因此建议患者继续观察。患者自身抵不住结节增大的压力,自行至外科切除。可以理解患者的心情,毕竟增大的结节,对很多人压力是很大的,对医生诊断的压力也很大。

手术楔形切除,病理为胶原化及碳末沉积。

该典型良性形态的实性结节,1年后随访有少许增大,切除证实为良性陈旧性。

那么陈旧性病灶,胶原增生结节也有可能增大吗?

确实有这个可能。Fleischner指南指出,典型良性的叶间裂淋巴结,即使有少许增大,也是安全的。本例虽然不是淋巴结,但也是典型良性表现,位于叶间裂,随访中稍微增大,仍然是良性纤维灶。

Fleischner的这个建议,之前我们讨论过:

1cm左右的实性结节的诊断很难,而且穿刺也比较困难。对于不吸烟的女性,良性形态结节随访中有少许增大,如形态仍为良性形态,且不超过1cm,建议继续观察。如出现恶性征象,建议采用无创方法检测,如肺癌抗体,循环异常细胞(CAC),ctDNA甲基化等鉴别结节良恶性。

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (6)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1077494, encodeId=c1dc10e7494c7, content=估计很多人都会选择切吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59ff6145672, createdName=ms1000002043536403, createdTime=Mon Dec 06 21:00:16 CST 2021, time=2021-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010849, encodeId=cea710108492c, content=加几分, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210705/da99a5ddc5244395987d88047354dfa2/60de296e27ab48cdbea6b0cd416ada5f.jpg, createdBy=6c8d1668804, createdName=粪兜小医生, createdTime=Tue Aug 24 07:40:44 CST 2021, time=2021-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010565, encodeId=443a1010565bc, content=学习学习学习学习学习学习学习学习学习学习学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f03a5433387, createdName=ms5000000518166734, createdTime=Mon Aug 23 11:19:23 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010556, encodeId=3db4101055632, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/fd135f98d25e4b4dba0c3f71974b083e/8d513772381e4b1581baff0edccc798a.jpg, createdBy=09785499929, createdName=bz俊俊, createdTime=Mon Aug 23 10:59:41 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010552, encodeId=a5321010552e3, content=炎性结节吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/CBFPmSnMe9HXB9ZfuoibLbiaREDTTyLOkW9nNUQVyscb0NFK8ssePjiceYP2SWlhCuISa01JaB5CPDx9icxPyL8Nlg/132, createdBy=77c22479203, createdName=ms6554388223732251, createdTime=Mon Aug 23 10:51:29 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010548, encodeId=e6971010548d5, content=学习,非常好的指导意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=谭桂峰, createdTime=Mon Aug 23 10:32:51 CST 2021, time=2021-08-23, status=1, ipAttribution=)]
    2021-12-06 ms1000002043536403

    估计很多人都会选择切吧

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1077494, encodeId=c1dc10e7494c7, content=估计很多人都会选择切吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59ff6145672, createdName=ms1000002043536403, createdTime=Mon Dec 06 21:00:16 CST 2021, time=2021-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010849, encodeId=cea710108492c, content=加几分, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210705/da99a5ddc5244395987d88047354dfa2/60de296e27ab48cdbea6b0cd416ada5f.jpg, createdBy=6c8d1668804, createdName=粪兜小医生, createdTime=Tue Aug 24 07:40:44 CST 2021, time=2021-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010565, encodeId=443a1010565bc, content=学习学习学习学习学习学习学习学习学习学习学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f03a5433387, createdName=ms5000000518166734, createdTime=Mon Aug 23 11:19:23 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010556, encodeId=3db4101055632, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/fd135f98d25e4b4dba0c3f71974b083e/8d513772381e4b1581baff0edccc798a.jpg, createdBy=09785499929, createdName=bz俊俊, createdTime=Mon Aug 23 10:59:41 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010552, encodeId=a5321010552e3, content=炎性结节吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/CBFPmSnMe9HXB9ZfuoibLbiaREDTTyLOkW9nNUQVyscb0NFK8ssePjiceYP2SWlhCuISa01JaB5CPDx9icxPyL8Nlg/132, createdBy=77c22479203, createdName=ms6554388223732251, createdTime=Mon Aug 23 10:51:29 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010548, encodeId=e6971010548d5, content=学习,非常好的指导意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=谭桂峰, createdTime=Mon Aug 23 10:32:51 CST 2021, time=2021-08-23, status=1, ipAttribution=)]
    2021-08-24 粪兜小医生

    加几分

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1077494, encodeId=c1dc10e7494c7, content=估计很多人都会选择切吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59ff6145672, createdName=ms1000002043536403, createdTime=Mon Dec 06 21:00:16 CST 2021, time=2021-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010849, encodeId=cea710108492c, content=加几分, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210705/da99a5ddc5244395987d88047354dfa2/60de296e27ab48cdbea6b0cd416ada5f.jpg, createdBy=6c8d1668804, createdName=粪兜小医生, createdTime=Tue Aug 24 07:40:44 CST 2021, time=2021-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010565, encodeId=443a1010565bc, content=学习学习学习学习学习学习学习学习学习学习学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f03a5433387, createdName=ms5000000518166734, createdTime=Mon Aug 23 11:19:23 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010556, encodeId=3db4101055632, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/fd135f98d25e4b4dba0c3f71974b083e/8d513772381e4b1581baff0edccc798a.jpg, createdBy=09785499929, createdName=bz俊俊, createdTime=Mon Aug 23 10:59:41 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010552, encodeId=a5321010552e3, content=炎性结节吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/CBFPmSnMe9HXB9ZfuoibLbiaREDTTyLOkW9nNUQVyscb0NFK8ssePjiceYP2SWlhCuISa01JaB5CPDx9icxPyL8Nlg/132, createdBy=77c22479203, createdName=ms6554388223732251, createdTime=Mon Aug 23 10:51:29 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010548, encodeId=e6971010548d5, content=学习,非常好的指导意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=谭桂峰, createdTime=Mon Aug 23 10:32:51 CST 2021, time=2021-08-23, status=1, ipAttribution=)]
    2021-08-23 ms5000000518166734

    学习学习学习学习学习学习学习学习学习学习学习学习学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1077494, encodeId=c1dc10e7494c7, content=估计很多人都会选择切吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59ff6145672, createdName=ms1000002043536403, createdTime=Mon Dec 06 21:00:16 CST 2021, time=2021-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010849, encodeId=cea710108492c, content=加几分, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210705/da99a5ddc5244395987d88047354dfa2/60de296e27ab48cdbea6b0cd416ada5f.jpg, createdBy=6c8d1668804, createdName=粪兜小医生, createdTime=Tue Aug 24 07:40:44 CST 2021, time=2021-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010565, encodeId=443a1010565bc, content=学习学习学习学习学习学习学习学习学习学习学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f03a5433387, createdName=ms5000000518166734, createdTime=Mon Aug 23 11:19:23 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010556, encodeId=3db4101055632, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/fd135f98d25e4b4dba0c3f71974b083e/8d513772381e4b1581baff0edccc798a.jpg, createdBy=09785499929, createdName=bz俊俊, createdTime=Mon Aug 23 10:59:41 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010552, encodeId=a5321010552e3, content=炎性结节吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/CBFPmSnMe9HXB9ZfuoibLbiaREDTTyLOkW9nNUQVyscb0NFK8ssePjiceYP2SWlhCuISa01JaB5CPDx9icxPyL8Nlg/132, createdBy=77c22479203, createdName=ms6554388223732251, createdTime=Mon Aug 23 10:51:29 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010548, encodeId=e6971010548d5, content=学习,非常好的指导意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=谭桂峰, createdTime=Mon Aug 23 10:32:51 CST 2021, time=2021-08-23, status=1, ipAttribution=)]
    2021-08-23 bz俊俊

    👍

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1077494, encodeId=c1dc10e7494c7, content=估计很多人都会选择切吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59ff6145672, createdName=ms1000002043536403, createdTime=Mon Dec 06 21:00:16 CST 2021, time=2021-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010849, encodeId=cea710108492c, content=加几分, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210705/da99a5ddc5244395987d88047354dfa2/60de296e27ab48cdbea6b0cd416ada5f.jpg, createdBy=6c8d1668804, createdName=粪兜小医生, createdTime=Tue Aug 24 07:40:44 CST 2021, time=2021-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010565, encodeId=443a1010565bc, content=学习学习学习学习学习学习学习学习学习学习学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f03a5433387, createdName=ms5000000518166734, createdTime=Mon Aug 23 11:19:23 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010556, encodeId=3db4101055632, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/fd135f98d25e4b4dba0c3f71974b083e/8d513772381e4b1581baff0edccc798a.jpg, createdBy=09785499929, createdName=bz俊俊, createdTime=Mon Aug 23 10:59:41 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010552, encodeId=a5321010552e3, content=炎性结节吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/CBFPmSnMe9HXB9ZfuoibLbiaREDTTyLOkW9nNUQVyscb0NFK8ssePjiceYP2SWlhCuISa01JaB5CPDx9icxPyL8Nlg/132, createdBy=77c22479203, createdName=ms6554388223732251, createdTime=Mon Aug 23 10:51:29 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010548, encodeId=e6971010548d5, content=学习,非常好的指导意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=谭桂峰, createdTime=Mon Aug 23 10:32:51 CST 2021, time=2021-08-23, status=1, ipAttribution=)]
    2021-08-23 ms6554388223732251

    炎性结节吗?

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1077494, encodeId=c1dc10e7494c7, content=估计很多人都会选择切吧, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=59ff6145672, createdName=ms1000002043536403, createdTime=Mon Dec 06 21:00:16 CST 2021, time=2021-12-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010849, encodeId=cea710108492c, content=加几分, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210705/da99a5ddc5244395987d88047354dfa2/60de296e27ab48cdbea6b0cd416ada5f.jpg, createdBy=6c8d1668804, createdName=粪兜小医生, createdTime=Tue Aug 24 07:40:44 CST 2021, time=2021-08-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010565, encodeId=443a1010565bc, content=学习学习学习学习学习学习学习学习学习学习学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f03a5433387, createdName=ms5000000518166734, createdTime=Mon Aug 23 11:19:23 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010556, encodeId=3db4101055632, content=👍, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/fd135f98d25e4b4dba0c3f71974b083e/8d513772381e4b1581baff0edccc798a.jpg, createdBy=09785499929, createdName=bz俊俊, createdTime=Mon Aug 23 10:59:41 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010552, encodeId=a5321010552e3, content=炎性结节吗?, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/CBFPmSnMe9HXB9ZfuoibLbiaREDTTyLOkW9nNUQVyscb0NFK8ssePjiceYP2SWlhCuISa01JaB5CPDx9icxPyL8Nlg/132, createdBy=77c22479203, createdName=ms6554388223732251, createdTime=Mon Aug 23 10:51:29 CST 2021, time=2021-08-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1010548, encodeId=e6971010548d5, content=学习,非常好的指导意义, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4gCIdSaEkahCNuUWZv4iaKmqvUKHyKnBiarBM9RStQKBeV5Lh6GYYFiamdV5KlSfbLvmAgZTLtq81XA/0, createdBy=13511650672, createdName=谭桂峰, createdTime=Mon Aug 23 10:32:51 CST 2021, time=2021-08-23, status=1, ipAttribution=)]
    2021-08-23 谭桂峰

    学习,非常好的指导意义

    0

Baidu
map
Baidu
map
Baidu
map