[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-109-2-basic-medicine-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-109-2-基礎醫學-046","nurse-109-2-basic-medicine-046",109,2,46,"下列關於睪丸腫瘤的敘述，何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"隱睪症會增加腫瘤風險","生殖細胞腫瘤最常見的染色體異常為染色體12短臂的等臂染色體（isochromosome）","青春期後的男性（postpubertal male）大多的睪丸腫瘤源自生殖細胞，且大多為良性","睪丸生殖細胞瘤分為精子細胞瘤（seminoma）與非精子細胞瘤（nonseminomatous germ cell tumor），而以seminoma較常見","C",null,[],"本題考點在於睪丸腫瘤的良惡性與流行病學,屬「找錯誤」題。考點在於青春期後睪丸腫瘤的性質:青春期後男性的睪丸腫瘤絕大多數源自生殖細胞沒錯,但這類生殖細胞腫瘤絕大多數為惡性,而非良性,故C敘述錯誤為答案。A正確,隱睪症的睪丸位置異常確實增加惡性風險。B正確,生殖細胞腫瘤最常見的染色體異常是第12號染色體短臂的等臂染色體i(12p)。D正確,睪丸生殖細胞瘤分為精細胞瘤(seminoma)與非精細胞瘤,且以seminoma較常見、預後較佳。三者皆符合病理共識,唯「大多為良性」與臨床事實相反。","重點對比:睪丸生殖細胞腫瘤幾乎都是惡性,這與卵巢畸胎瘤多為良性形成鮮明對照。seminoma對放射線敏感、預後好、腫瘤指標可見hCG而AFP通常不升;非精細胞瘤(胚胎癌、卵黃囊瘤、絨毛膜癌、畸胎瘤)較侵襲,AFP、hCG可升高。i(12p)是生殖細胞腫瘤的分子標記。隱睪症即使手術固定仍殘留較高風險。可連結睪丸腫瘤指標AFP\u002FhCG\u002FLDH與隱睪症併發症複習。",[25,28,30,32,34],{"term":26,"count":27},"睪丸生殖細胞腫瘤",1,{"term":29,"count":27},"隱睪症",{"term":31,"count":27},"seminoma",{"term":33,"count":27},"i(12p)等臂染色體",{"term":35,"count":27},"腫瘤惡性度",[37,41,46,50,55,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-109-2-basic-medicine-047","下列甲狀腺癌那一種最容易產生類澱粉沉積症（amyloidosis）？",47,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-110-1-basic-medicine-063","下列何者的藥理作用機轉是抑制細胞內微小管（microtubule）的聚合，並具有較低的骨髓抑制作用？",63,110,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-110-2-basic-medicine-077","肝炎病毒感染後，下列何者只會造成急性肝炎，並不會導致長期慢性感染的發生？",77,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-112-2-basic-medicine-015","有關人類精子的敘述，下列何者正確？",15,112,{"webId":56,"stem":57,"number":58,"year":59,"session":60},"nurse-113-3-basic-medicine-019","有關氣胸（pneumothorax）後的敘述，下列何者最適當？",19,113,3,{"webId":62,"stem":63,"number":64,"year":65,"session":27},"nurse-115-1-basic-medicine-013","下列有關股四頭肌（quadriceps femoris）的敘述，何者錯誤？",13,115,"2026-09-04",1788510715163]