[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-basic-medicine-045":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-110-2-基礎醫學-045","nurse-110-2-basic-medicine-045",110,2,45,"顯微鏡下，肺腫瘤細胞的細胞質少且呈圓形或橢圓形，具有神經內分泌的特性，是下列那一種肺腫瘤？",{"A":15,"B":16,"C":17,"D":18},"腺癌（adenocarcinoma）","鱗狀細胞癌（squamous cell carcinoma）","小細胞癌（small cell carcinoma）","大細胞未分化癌（large cell undifferentiated carcinoma）","C",null,[],"本題考點在依組織學特徵辨識肺癌類型。腫瘤細胞細胞質稀少、核呈圓形或橢圓形、且具神經內分泌特性,符合小細胞癌(small cell carcinoma),其源自神經內分泌細胞,細胞小、質少、核染色質細緻(燕麥細胞),故選C。A腺癌以腺體結構與黏液分泌為特徵、屬周邊型;B鱗狀細胞癌可見角質珠與細胞間橋、與吸菸及中央型相關;D大細胞未分化癌細胞大、質豐富、缺乏明顯分化特徵。故具神經內分泌且細胞質少者為小細胞癌。","肺癌分小細胞癌(SCLC)與非小細胞癌(NSCLC)。SCLC屬神經內分泌來源、中央型、與吸菸強相關、生長快早轉移、對化放療初期敏感但易復發,常伴paraneoplastic(SIADH、Cushing\u002FACTH、Lambert-Eaton)。神經內分泌標記:chromogranin、synaptophysin、NSE。NSCLC含腺癌(最常見、非吸菸者亦見、EGFR)、鱗癌(中央、角化)、大細胞癌。",[25,27,30,32],{"term":26,"count":11},"小細胞癌",{"term":28,"count":29},"神經內分泌腫瘤",1,{"term":31,"count":29},"肺癌組織分型",{"term":33,"count":29},"燕麥細胞",[35,39,44,49,54,60],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-2-basic-medicine-046","關於發生於胃的黏膜相關淋巴組織淋巴瘤（mucosa-associated lymphoid tissue lymphoma, MALToma）之敘述，下列何者錯誤？",46,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-111-1-basic-medicine-062","關於礦物皮質類固醇（mineralocorticoid）的生理及藥理作用，下列何者錯誤？",62,111,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-112-1-basic-medicine-026","下列何種細胞對於輻射損傷較具有抵抗性？",26,112,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-113-2-basic-medicine-024","Familial breast and ovarian carcinoma syndrome 的突變基因為何？",24,113,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-114-3-basic-medicine-028","有關乳房纖維腺瘤（fibroadenoma），下列敘述何者最不適當？",28,114,3,{"webId":61,"stem":62,"number":63,"year":64,"session":29},"nurse-106-1-basic-medicine-072","在幼童常見造成細菌性腦膜炎的主要致病原為何？",72,106,"2026-09-04",1788510727702]