[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-basic-medicine-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-109-1-基礎醫學-046","nurse-109-1-basic-medicine-046",109,1,46,"下列關於乳癌的敘述何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"乳癌沿乳腺管上升到乳頭會造成乳頭 Paget disease","粉刺型導管原位癌（Comedo type ductal carcinoma in situ）常有中央壞死區，常常合併鈣化，而可被乳房攝影偵測到","管狀癌（Tubular carcinoma）的預後通常比其它組織型乳癌較差","小葉型乳癌（Infiltrating lobular carcinoma）細胞結合性很差，容易散布，理學檢查不易清楚確認","C",null,[],"本題考點是乳癌各組織型的預後比較，須選「錯誤」敘述。管狀癌（tubular carcinoma）是分化良好的特殊型乳癌，預後通常「較好」而非較差，故敘述「預後較差」錯誤，選 C。(A) 正確，乳癌沿乳腺管上行侵犯乳頭表皮可造成乳頭 Paget 氏病。(B) 正確，粉刺型導管原位癌常有中央壞死並合併鈣化，乳房攝影可偵測到微鈣化。(D) 正確，浸潤性小葉癌細胞缺乏 E-cadherin、黏附性差，呈單行浸潤、理學檢查邊界不清。故錯誤者為 C。","乳癌預後與組織型：分化良好的特殊型（管狀癌、黏液癌、乳頭狀癌）預後佳；一般型浸潤性導管癌（NST）預後居中；預後也受分級、大小、淋巴結、ER\u002FPR\u002FHER2 與 Ki-67 影響。浸潤性小葉癌因 E-cadherin 失活呈「印度列兵（single file）」浸潤、易多發雙側、影像與觸診不易界定。DCIS 粉刺型（comedo）具中央壞死＋鈣化，惡性度較高。Paget 氏病＝乳頭濕疹樣變化，常伴下方導管癌。記憶：「管狀癌＝乖乖癌，預後好」，本題陷阱把好預後說成差。",[25,27,29,31,33],{"term":26,"count":11},"乳癌組織型",{"term":28,"count":11},"管狀癌預後良好",{"term":30,"count":11},"浸潤性小葉癌E-cadherin",{"term":32,"count":11},"導管原位癌粉刺型",{"term":34,"count":11},"乳頭Paget氏病",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-1-basic-medicine-047","重症肌無力（myasthenia gravis）的主要病變是發生在何處？",47,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-109-2-basic-medicine-063","Caspofungin用於治療黴菌感染，下列何者為其作用機轉？",63,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-110-1-basic-medicine-077","有關梅毒螺旋菌（Treponema pallidum）的感染，下列敘述何者錯誤？",77,110,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-111-2-basic-medicine-035","下列何者為 Lorsatan 降血壓的作用機制？",35,111,{"webId":56,"stem":57,"number":58,"year":59,"session":11},"nurse-113-1-basic-medicine-039","下列抗結核桿菌的藥物中，何者會降低以protease inhibitors治療愛滋病（AIDS）的效果？",39,113,{"webId":61,"stem":62,"number":63,"year":64,"session":44},"nurse-114-2-basic-medicine-033","下列降血壓藥物中，何者為腎素抑制劑（renin inhibitor）？",33,114,"2026-09-04",1788510711309]