[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-basic-medicine-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":33,"lastmod":63},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":11},"nurse-107-1-基礎醫學-037","nurse-107-1-basic-medicine-037",107,1,37,"胃腸道之原位癌（carcinoma in situ）是表示癌細胞尚未穿過下列何者？",{"A":15,"B":16,"C":17,"D":18},"基膜（basement membrane）","漿膜層（serosa）","肌肉層（muscularis propria）","黏膜下層（submucosa）","A",null,[],"本題考點是原位癌（carcinoma in situ）的定義界線。依腫瘤病理，原位癌指癌細胞仍侷限於上皮層內、尚未突破基膜（basement membrane）而侵入下方結締組織，屬非侵襲性、無轉移能力，故選 A。漿膜層（B）、肌肉層（C）、黏膜下層（D）皆位於基膜之下，若癌細胞抵達這些層次即已為侵襲癌。判斷關鍵在於認得「是否穿過基膜」是原位癌與侵襲癌的分界。","腫瘤進展序列：異生（dysplasia）→原位癌（全層上皮異常但未破基膜）→侵襲癌（突破基膜進入間質，取得血管與淋巴通道方能轉移）。基膜為上皮與結締組織的分界，其完整與否是判定侵襲的病理黃金標準。臨床意義：原位癌因未侵襲、無轉移，切除即可治癒（如子宮頸原位癌、乳管原位癌 DCIS）。記法：「破膜才叫侵襲、轉移必先破膜」。",[25,27,29,31],{"term":26,"count":11},"原位癌(carcinoma in situ)",{"term":28,"count":11},"基膜(basement membrane)",{"term":30,"count":11},"侵襲癌分界",{"term":32,"count":11},"腫瘤進展序列",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":10,"session":11},"nurse-107-1-basic-medicine-038","當大腸出現燒杯狀潰瘍時，最可能是下列何種微生物感染的特徵？",38,{"webId":39,"stem":40,"number":41,"year":10,"session":42},"nurse-107-2-basic-medicine-054","下列何者不是 aspirin 的藥理作用？",54,2,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-108-1-basic-medicine-068","下列何者最常引起新生兒的細菌性腦膜炎？",68,108,{"webId":49,"stem":50,"number":51,"year":52,"session":42},"nurse-109-2-basic-medicine-026","18歲女性外表，沒有月經，性染色體為XY，其細胞對雄性素不敏感，在此病人所表現的病徵中，下列何者是因為缺乏雄性素接受器所造成？",26,109,{"webId":54,"stem":55,"number":56,"year":57,"session":42},"nurse-110-2-basic-medicine-070","下列何種細胞源於卵黃囊，發育後長期駐守在組織中，負責組織維護與修復的功能？",70,110,{"webId":59,"stem":60,"number":61,"year":62,"session":42},"nurse-112-2-basic-medicine-004","下列何者無法執行閉口的動作？",4,112,"2026-09-04",1788510701181]