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醫學五:80題 ( 包括外科,骨科,泌尿科等科目及其相關臨床實例與醫學倫理 )題庫下載題庫

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16 21 歲男性,主訴近兩個月來頭痛、視力模糊、步態不穩且常有嘔吐情形。電腦斷層掃描可見松果體 區有一個腫瘤,且引起腦室擴張。此病患接受立體定位切片確定診斷後,再接受放射線治療,之後 腫瘤消失。這個腫瘤最有可能的病理診斷為何?
(A)惡性神經膠質瘤(glioblastoma multiforme, GBM)
(B)畸胎瘤(teratoma)
(C)室管膜瘤(ependymoma)
(D)生殖細胞瘤(germinoma)


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Chris 大二下 (2020/06/08)

Intracranial GCTs arise almost exclusively from midline locations. The two most frequent sites are the pineal gland and the suprasellar regions, with pineal tumors occurring nearly twice as often as suprasellar GCTs. Intracranial GCTs can also arise in the basal ganglia, thalamus, cerebral hemisphere, and cerebellum

Intracranial germinomas are exquisitely sensitive to radiation. Most contemporary series have reported long-term progression-free survival (PFS) rates >90 percent for patients with localized, pure germinomas after radiation therapy (RT) alon...


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16 21 歲男性,主訴近兩個月來頭痛、視力模糊、步態不穩且常有嘔吐情形。電腦斷..-阿摩線上測驗