[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-basic-medicine-028":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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":27},"nurse-113-3-基礎醫學-028","nurse-113-3-basic-medicine-028",113,3,28,"三歲男孩，血中 α 胎兒蛋白（α-fetoprotein）上升，最可能為何種睪丸腫瘤？",{"A":15,"B":16,"C":17,"D":18},"精細胞瘤（seminoma）","卵黃囊瘤（yolk sac tumor）","絨毛膜癌（choriocarcinoma）","畸胎瘤（teratoma）","B",null,[],"本題考點在於兒童睪丸腫瘤與腫瘤標記的對應。三歲男孩血中 α 胎兒蛋白(AFP)上升,最可能為卵黃囊瘤(yolk sac tumor,又稱內胚竇瘤),它是嬰幼兒最常見的睪丸生殖細胞瘤,腫瘤細胞會分泌 AFP,故選 B。A 精細胞瘤好發於成年男性,典型不分泌 AFP(可能輕度升高 hCG),不符合幼兒與 AFP 升高。C 絨毛膜癌主要分泌 β-hCG 而非 AFP,且極少見於此年齡單純表現。D 畸胎瘤在兒童多為成熟型、預後良好,一般不以 AFP 顯著升高為特徵。掌握「幼兒睪丸腫瘤＋AFP 升高＝卵黃囊瘤」的專一配對即可作答。","生殖細胞瘤標記整理:AFP 升高提示卵黃囊瘤(或含卵黃囊成分的混合型);β-hCG 升高提示絨毛膜癌(合體滋養細胞分泌),精細胞瘤可能輕微升 hCG 但 AFP 正常。臨床上純精細胞瘤 AFP 不會升高,若睪丸瘤 AFP 明顯上升就代表含非精細胞瘤成分,治療策略隨之不同。年齡分布是重要線索:卵黃囊瘤多見於幼兒,精細胞瘤多見於 15–35 歲成人。記憶:AFP 也是肝細胞癌的標記,黃囊(yolk sac)與胎兒肝都會製造 AFP,故連結記憶「胚胎期的東西才分泌 AFP」。",[25,28,31,33],{"term":26,"count":27},"卵黃囊瘤",2,{"term":29,"count":30},"α 胎兒蛋白(AFP)",1,{"term":32,"count":30},"兒童生殖細胞瘤",{"term":34,"count":30},"腫瘤標記配對",[36,40,45,50,55,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-113-3-basic-medicine-029","子宮肌腺症（adenomyosis）典型的表現，下列何者最恰當？",29,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-114-2-basic-medicine-025","末期大腸直腸癌具有遠端器官的腫瘤轉移。下列何者是大腸直腸癌最常發生轉移的器官？",25,114,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-115-1-basic-medicine-019","下列何者不具有味蕾？",19,115,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-106-2-basic-medicine-037","下列何種疾病的發生與抽菸的關係最少？",37,106,{"webId":56,"stem":57,"number":30,"year":58,"session":30},"nurse-108-1-basic-medicine-001","下列何者的內襯上皮具有纖毛？",108,{"webId":60,"stem":61,"number":62,"year":63,"session":30},"nurse-109-1-basic-medicine-035","下列那一種狀況，急性期較不會出現肋膜積液？",35,109,"2026-09-04",1788510751722]