[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-115-2-medical-surgical-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":10},"nurse-115-2-內外科護理學-021","nurse-115-2-medical-surgical-021",115,2,21,"有關癌細胞特性的敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"具有纖維膜包覆，易擴散","分化越差，生長速率越慢","容易造成身體消瘦、貧血","手術切除後不易復發","C",null,[],"本題考點是癌細胞(惡性腫瘤)與良性腫瘤的特性對比。依病理學,癌細胞代謝旺盛並與宿主競爭營養,同時釋出腫瘤壞死因子、介白素等細胞激素造成惡病質,加上慢性失血與骨髓造血受抑制,病人常見體重減輕、消瘦與貧血,故選 C。A 錯在包膜,具纖維性包膜、界線清楚而不易擴散的是良性腫瘤,惡性腫瘤缺乏包膜且呈浸潤性生長。B 錯在方向,分化愈差代表細胞愈原始、增殖與轉移愈快,而非生長變慢。D 錯在復發風險,惡性腫瘤常存在局部浸潤與微小轉移,即使切除仍可能復發,故多需輔助性化學或放射治療。","良惡性對照可整理成六欄表:包膜(有\u002F無)、生長速率(慢\u002F快)、分化程度(接近正常\u002F差)、生長方式(擠壓推開\u002F浸潤破壞)、轉移(不轉移\u002F易經血液淋巴轉移)、復發(切除後少見\u002F常見)。惡病質機轉並非單純吃得少,而是細胞激素驅動的高代謝與肌肉蛋白分解,因此單靠增加熱量攝取效果有限。另一組容易混淆的概念是分期與分級:TNM 分期描述腫瘤大小、淋巴結侵犯與遠端轉移,決定治療策略;grading 分級描述細胞分化程度,反映生物侵襲性。貧血成因也可分層:失血、營養不足、骨髓浸潤與治療相關骨髓抑制。",[24,26,29,31],{"term":25,"count":10},"癌細胞特性",{"term":27,"count":28},"良性與惡性腫瘤對比",1,{"term":30,"count":28},"惡病質",{"term":32,"count":28},"腫瘤分化程度",[34,38,43,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-115-2-medical-surgical-022","有關體內封閉式放射線治療之護理措施，下列何者最不適當？",22,{"webId":39,"stem":40,"number":41,"year":42,"session":28},"nurse-106-1-medical-surgical-068","有關結腸癌之敘述，下列何者錯誤？",68,106,{"webId":44,"stem":45,"number":10,"year":46,"session":28},"nurse-107-1-medical-surgical-002","林先生因置有腦室外引流系統而造成細菌感染，其腦脊髓液的實驗室檢查結果，下列何者正確？",107,{"webId":48,"stem":49,"number":50,"year":51,"session":28},"nurse-108-1-medical-surgical-040","維生素 B 12 缺乏造成的惡性貧血，可透過下列何種試驗或檢查進行鑑別？",40,108,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-109-2-medical-surgical-004","有關顱內腫瘤壓迫對視覺的影響，下列何者錯誤？",4,109,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-110-2-medical-surgical-038","有關何杰金氏淋巴瘤的敘述，下列何者錯誤？",38,110,"2026-08-06",1787299037125]