[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-basic-medicine-042":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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":27},"nurse-108-2-基礎醫學-042","nurse-108-2-basic-medicine-042",108,2,42,"有關癌症（cancer）的分期（staging）及分級（grading）之敘述，下列何者最正確？",{"A":15,"B":16,"C":17,"D":18},"TNM 是常用的分級系統","惡性腫瘤的分期比分級更重要","分期主要在評估癌細胞的分化（differentiation）程度","TNM 系統中，M1 比 M0 的預後（prognosis）更好","B",null,[],"本題考點在腫瘤分期與分級的定義與臨床意義。依腫瘤學，分期（staging）評估腫瘤大小、淋巴結與遠端轉移範圍，反映疾病實際散布程度，對預後與治療決策的影響大於分級，故B正確。A錯：TNM是分期系統而非分級系統。C錯：評估癌細胞分化程度的是『分級（grading）』，分期評估的是擴散範圍。D錯：M1代表已有遠端轉移，預後比無轉移的M0更差而非更好，故B為最正確敘述。","分期看『跑多遠』（解剖擴散，TNM），分級看『長多壞』（組織分化程度，G1至G4）。臨床上分期通常主導預後，因為即使分化尚可，只要遠端轉移即屬晚期。記憶口訣：Stage＝Spread（散布），Grade＝Growth appearance（長相）。T越大、N越多、M1，期別越晚預後越差。可連結：TNM系統、分化程度、遠端轉移M1、預後評估。",[25,28,30,32],{"term":26,"count":27},"TNM分期系統",1,{"term":29,"count":27},"分期評估擴散範圍",{"term":31,"count":27},"分級評估分化程度",{"term":33,"count":27},"遠端轉移M1預後",[35,39,44,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-2-basic-medicine-043","下列感染症的致病機轉與細菌產生的外毒素有關，何者除外？",43,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-109-1-basic-medicine-059","有關抗生素 amoxicillin 之敘述，下列何者錯誤？",59,109,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-109-2-basic-medicine-073","關於幽門螺旋桿菌（Helicobacter pylori）的敘述，下列何者錯誤？",73,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-111-1-basic-medicine-031","下列有關人體在高海拔地區之生理調適反應，何者正確？",31,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-basic-medicine-005","下列血管何者與下腔靜脈（inferior vena cava）直接相連？",5,112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":58},"nurse-113-3-basic-medicine-049","下列有關腸病毒的描述何者錯誤？",49,113,"2026-09-04",1788510705175]