[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-2-basic-medicine-027":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":11},"nurse-112-2-基礎醫學-027","nurse-112-2-basic-medicine-027",112,2,27,"李先生因持續便血而至醫院看診，醫師為他做了大腸鏡切片發現是乙狀結腸癌（Sigmoid Colon Cancer），且肝臟有一可疑病灶。手術切除大腸與部分肝臟之後的病理診斷為分化差的腺癌（poorly-differentiated adenocarcinoma），分期為 T3N1M0。從這個診斷中可以得知下列那項資訊？",{"A":15,"B":16,"C":17,"D":18},"此惡性腫瘤來自間質細胞（mesenchymal cells）","分化差（poorly-differentiated）是指腫瘤細胞和正常結腸細胞十分相似","N1 指的是病人的腫瘤已侵犯神經（nerves）","此腫瘤沒有遠端轉移（distant metastasis）","D",null,[],"本題考點在於腫瘤 TNM 分期與分化程度的判讀。依 TNM 定義，M 代表遠端轉移，M0 即表示無遠端轉移，故由 T3N1M0 可確認選 D 正確；題中肝臟病灶經病理仍歸為此分期，說明未判定為遠端轉移。A 錯在腺癌來自上皮細胞而非間質細胞（間質來源為肉瘤 sarcoma）；B 錯在分化差（poorly-differentiated）指腫瘤細胞與正常結腸細胞差異大、不相似；C 錯在 N1 指區域淋巴結（node）轉移而非侵犯神經，三者定義均遭混淆。","TNM 記憶：T＝原發腫瘤大小\u002F侵犯深度，N＝區域淋巴結（Node），M＝遠端轉移（Metastasis）。分化程度反映惡性度：分化好（well）較像正常組織、預後較佳；分化差（poor）異型性大、惡性度高。上皮惡性腫瘤稱 carcinoma、間質稱 sarcoma。可連結大腸癌分期與五年存活率、CEA 腫瘤標記追蹤一併複習。",[25,27,29,32],{"term":26,"count":11},"腫瘤分化程度",{"term":28,"count":11},"腺癌",{"term":30,"count":31},"TNM 分期",1,{"term":33,"count":31},"遠端轉移 M0",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-112-2-basic-medicine-028","病毒會針對特定細胞或組織造成傷害，取決於病毒的組織趨向性（tropism），下列何因素對組織趨向性的影響最小？",28,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-113-1-basic-medicine-024","壞血病（scurvy）是那一種維生素缺乏所造成？",24,113,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-113-3-basic-medicine-018","抗利尿激素（antidiuretic hormone）在下列那個腦區合成？",18,3,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-115-1-basic-medicine-016","就多數情況而言，下列有關右肺肋面（costal surface）裂隙的敘述，何者錯誤？",16,115,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-106-2-basic-medicine-040","下列有關感染性單核球症（infectious mononucleosis）的敘述，何者錯誤？",40,106,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-107-2-basic-medicine-074","下列何種細菌感染症較少經由節肢動物（arthropod）傳播？",74,107,"2026-09-04",1788510746370]