Re: [申覆] 醫學五 50題
看板medstudent作者ClydeDrexler (ClydeDrexler)時間13年前 (2011/08/04 11:27)推噓1(1推 0噓 0→)留言1則, 1人參與討論串2/2 (看更多)
題目:
50. Beckwith-Wiedemann syndrome可能合併何種腫瘤？
(A)lymphoma (B)neuroblastoma (C)Wilms’tumor (D)hepatoblastoma
原答案: C
建議答案: B、C、D皆可
申覆理由:
1.Nelson Textbook of Pediatrics, 19th ed.提到：Children with
Beckwith-Wiedemann syndrome and hemihypertrophy also have a higher incidence
of neuroblastoma.由此可知Beckwith-Wiedemann syndrome可能會合併Neuroblastoma，
因此選項(B)是正確的。
2.Uptodate – “Beckwith-Wiedemann syndrome” 此篇的”Findings associated
with BWS include”裡頭提到和Beckwith-Wiedemann syndrome 會合併出現的包括：
Embryonal tumors (eg, Wilms tumor, hepatoblastoma, neuroblastoma,
rhabdomyosarcoma) in childhood，另外Children with BWS have an increased risk
of mortality associated with neoplasia, particularly Wilms tumor and
hepatoblastoma, but also neuroblastoma, adrenocortical carcinoma, and
rhabdomyosarcoma.
因此題目中的B、C、D 都正確
由上列資料可知，(B)neuroblastoma 、(C)Wilms’ tumor、(D)hepatoblastoma都和
Beckwith-Wiedemann syndrome有關，因此建議答案改為：B、C、D皆可。
佐證資料來源：（應檢附佐證資料，並請以Ａ４紙張影印）
書 名：Nelson Textbook of Pediatrics
出版年次：2011 , 19th ed
作 者： Robert M. Kliegman
頁 次： 電子書Chapter 492
http://db.tt/VJnvprS
------
書 名：uptodate
出版年次：2011
作 者： Brian Chung Hon-Yin,MD
頁 次：2~4
http://db.tt/f7w99LH
http://db.tt/DaV0uLk
Nelson Textbook of Pediatrics, 19th ed.
Children with Beckwith-Wiedemann syndrome and hemihypertrophy also have a
higher incidence of neuroblastoma.
http://db.tt/VJnvprS
Uptodate-Beckwith-Wiedemann syndrome
Findings associated with BWS include [22]:
Embryonal tumors (eg, Wilms tumor, hepatoblastoma, neuroblastoma,
rhabdomyosarcoma) in childhood.
http://db.tt/f7w99LH
http://db.tt/DaV0uLk
這題應該必送的，請大家務必申覆這題！感恩
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◆ From: 221.120.4.26
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08/04 12:28, , 1F
08/04 12:28, 1F
※ 編輯: ClydeDrexler 來自: 221.120.65.89 (08/04 13:55)
※ 編輯: ClydeDrexler 來自: 221.120.4.35 (08/04 23:20)
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