— 健康促進與維護 · MEDIUM · MCQ —
護理師評估病人皮膚癌早期徵象。皮損的哪項特徵最令人擔憂？
A nurse is assessing a client for early signs of skin cancer. Which characteristic of a skin lesion would be most concerning?
- AA lesion with a symmetrical shape形狀對稱的病變
- BA lesion that has borders that are irregular and blurred✓ 正解邊緣不規則且模糊的病變
- CA lesion with a uniform light brown color顏色均勻的淺棕色病變
- DA lesion with a diameter of 4 mm直徑為4毫米的病變
— Explanation · 中文詳解 —
根據 ABCDE 原則：Asymmetry（不對稱）、Border（邊緣不齊）、Color（顏色不均）、Diameter（直徑 >6mm）、Evolving（演變）。邊緣不規則且模糊是黑色素瘤的重要警訊。
According to the ABCDE rule: Asymmetry, Border (irregular), Color (uneven), Diameter (>6 mm), and Evolving. An irregular and blurred border is an important warning sign of melanoma.
✦ 台美臨床差異
美國黑色素瘤盛行率較高，衛教普及；台灣黑色素瘤多發於足底等肢端，需提醒檢查隱蔽處。