[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-110-1-basic-medicine-039":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-110-1-基礎醫學-039","nurse-110-1-basic-medicine-039",110,1,39,"下列何種乳房疾病是造成乳頭的派吉特氏症（Paget disease）的最主要成因？",{"A":15,"B":16,"C":17,"D":18},"纖維狀變化（fibrocystic change）","化膿性乳房炎（suppurative mastitis）","乳管原位癌（ductal carcinoma in situ）","葉狀瘤（phyllodes tumor）","C",null,[],"本題考點是乳頭派吉特氏症的病理來源。依派吉特氏症的機轉,惡性腺癌細胞(即 Paget 細胞)由深部乳管往表皮遷移,絕大多數背後都連著乳管原位癌或侵襲性乳管癌,故最主要成因選 C 乳管原位癌。考點在於認出其為「表皮下藏著癌」的警訊:A 纖維囊腫變化是良性乳房增生,不會產生 Paget 細胞;B 化膿性乳房炎是感染性發炎,與惡性腺癌無關;D 葉狀瘤源自乳房間質纖維上皮,並非乳頭派吉特氏症的成因,故三者皆非。","臨床上乳頭出現濕疹樣、脫屑、糜爛且久治不癒,須警覺其下可能潛藏乳管癌,病理可見表皮內散布胞質淡染、核大的 Paget 細胞,常 HER2 陽性。記憶區辨:乳房 Paget 病幾乎都伴乳管癌;而骨骼的 Paget 病(變形性骨炎)是蝕骨與造骨失衡,兩者同名不同源,考試常拿來混淆。",[25,28,30,32,34],{"term":26,"count":27},"HER2",2,{"term":29,"count":11},"乳頭派吉特氏症",{"term":31,"count":11},"乳管原位癌",{"term":33,"count":11},"Paget 細胞",{"term":35,"count":11},"表皮內腺癌",[37,41,45,50,56,61],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-110-1-basic-medicine-040","骨質疏鬆症（osteoporosis）與下列那一徵候較無關？",40,{"webId":42,"stem":43,"number":44,"year":10,"session":27},"nurse-110-2-basic-medicine-056","成癮性物質中，下列何者之身體依賴性相對較高？",56,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-111-1-basic-medicine-070","下列何者是主要引起敗血症全身性反應的因子？",70,111,{"webId":51,"stem":52,"number":53,"year":54,"session":55},"nurse-112-3-basic-medicine-038","使用口服 Levothyroxine 治療甲狀腺功能低下（hypothyroidism）時，併用下列何種口服藥物最會降低 Levothyroxine 吸收？",38,112,3,{"webId":57,"stem":58,"number":59,"year":60,"session":11},"nurse-114-1-basic-medicine-042","有關嗜中性白血球的敘述，下列何者錯誤？",42,114,{"webId":62,"stem":63,"number":64,"year":65,"session":27},"nurse-115-2-basic-medicine-036","下列何種藥物可作為高血壓第一線單一藥物初始治療之選擇？",36,115,"2026-09-04",1788510719474]