2026 台大體系閱片：相對 2021–2025 的重複、同觀念與新增題

更新日期：2026-08-18

範圍與總結

限定台大體系：台大、臺大／NTUH、新竹台大。
2026 共 82 個 canonical cases：台大 63、新竹台大 19。
對照 2021–2025 台大體系共 467 cases。
本檔只收錄閱片分析，不含筆試 MCQ。

類型	題數
A：原病例重出	7
B：同診斷／具體影像觀念，但不同病例	37
C：2021–2025 無直接對應	38
合計	82

歷年基準涵蓋範圍

歷年來源	納入 cases	成為 A 的主要對應	成為 B 的主要對應
2021（`NTUH`）	107	0	12
2022（台大體系）	87	0	3
2023（台大體系）	93	0	7
2024（台大體系）	99	3	6
2025（台大體系）	81	4	9
合計	467	7	37

判定方式

先以 diagnosis 同義詞、縮寫、上下位粒度、多診斷部分重疊，加上年齡、性別與 clinical history 做候選召回。
只有 plausible candidates 才用 contact sheet 與原始 question／answer images 交由 GPT-5.6 Luna 目視確認；沒有進行所有圖片的兩兩窮舉。
A：同一病人脈絡、同一影像組、同一答案；重新輸出造成檔案雜湊不同仍可判為同病例。
B：疾病或具體判讀觀念相同，但病人、影像、部位或亞型不同。
C：歷年沒有直接診斷／判讀觀念對應。

一、依 A／B／C 分類

A．原病例重出（7）

2026 UID	診斷	重複來源	確認依據
`2026_台大_CH_001`	tracheoesophageal fistula	2025 `2025_台大_CH_006`	同為 72 歲女性、食道癌病史；CT 影像組逐張一致
`2026_台大_CH_002`	pneumopericardium	2025 `2025_台大_CH_007`	同為 29 歲男性 shock；胸片一致
`2026_新竹台大_NR_001_p6`	colloid cyst	2025 `2025_台大_NR_008`	同為 38 歲男性、incidental finding；MRI 影像組一致
`2026_新竹台大_NR_003`	Lhermitte-Duclos disease	2025 `2025_台大_NR_009`	同為 56 歲女性、incidental finding；小腦 MRI 一致
`2026_新竹台大_GI_001`	pneumoretroperitoneum	2024 `2024_台大_GI_010`	同為 67 歲女性、EGD/CFS 後腹痛；腹部影像一致
`2026_新竹台大_GI_002`	intrapancreatic accessory spleen	2024 `2024_台大_GI_011`	同為 24 歲女性、胰尾病灶、CA19-9 7.86；CT/MRI 組一致
`2026_新竹台大_GI_003`	papillary process of caudate lobe	2024 `2024_台大_GI_012`	同為 57 歲女性、多年 LUQ pain、EUS external compression；CT 組一致

B．同觀念但新病例（37）

2026 UID	診斷	最接近歷年台大題／共同觀念
`2026_台大_BR_001`	Large rod-like calcifications	2025 `BR_003`；mammographic calcification morphology
`2026_台大_BR_001_p13`	Invasive carcinoma NST	2024 `BR_005`；invasive breast carcinoma
`2026_台大_BR_002_p15`	Breast cancer with mass calcifications	2025 `BR_003`；malignant mass/calcification pattern
`2026_台大_BR_003`	Hamartoma	2023 `BR_008`；breast hamartoma
`2026_台大_CH_001_p14`	MMPH + bilateral renal AML	2023 `CH_011`；MMPH／TSC association
`2026_台大_CH_001_p20`	Pneumomediastinum + subcutaneous emphysema	2021 `2021_NTUH_PED_006`；extra-alveolar thoracic air
`2026_台大_CH_002_p17`	Primary mediastinal large B-cell lymphoma	2023 `NR_009`；lymphoma family，anatomic presentation 不同
`2026_台大_CV_001_p16`	HCM	2025 `CV_001`；hypertrophic cardiomyopathy
`2026_台大_CV_001_p20`	ALCAPA	2023 `PE_001`；ALCAPA
`2026_台大_CV_001_p24`	HOCM with AR/MR	2025 `CV_001`；HCM/HOCM
`2026_台大_CV_002_p18`	Cardiac amyloidosis	2025 `CV_002`；cardiac amyloidosis
`2026_台大_CV_002_p22`	Bicuspid aortic valve	2021 `2021_NTUH_CV_011`
`2026_台大_CV_003`	Aberrant RCA／interarterial course	2024 `CV_003`；coronary anomalous origin/course，非同一影像組
`2026_台大_CV_004`	Anomalous LCA／subpulmonic course	2024 `CV_003`；coronary anomalous origin/course
`2026_台大_CV_005`	LAA thrombus	2021 `2021_NTUH_CV_007`
`2026_台大_GI_001_p12`	Duodenal GIST	2021 `2021_NTUH_GI_023`
`2026_台大_GI_001_p17`	SMA syndrome	2021 `2021_NTUH_GI_021`
`2026_新竹台大_GI_001_p10`	Pancreatic lymphoma	2021 `2021_NTUH_GI_015`
`2026_新竹台大_GI_002_p12`	Gastric GIST	2021 `2021_NTUH_GI_023`；GIST，部位不同
`2026_台大_GU_002_p26`	Ovarian fibroma with torsion	2022 `GU_008`；ovarian fibroma/torsion
`2026_台大_GU_003_p21`	Chromophobe RCC	2022 `SN_005`；RCC subtype
`2026_新竹台大_GU_001_p7`	Retrocaval ureter	2025 `GU_008`
`2026_新竹台大_GU_002`	Emphysematous pyelonephritis	2021 `2021_NTUH_GU_005`
`2026_新竹台大_GU_002_p9`	Emphysematous pyelonephritis	2021 `2021_NTUH_GU_005`；另一個新病例
`2026_新竹台大_NR_002`	Orbital schwannoma	2023 `NR_011`
`2026_新竹台大_NR_002_p8`	Hypothalamic hamartoma	2021 `2021_NTUH_NR_010`
`2026_台大_NR_001`	Wilson disease	2021 `2021_NTUH_NR_018`
`2026_台大_NR_001_p17`	Hemangioblastoma	2021 `2021_NTUH_NR_008`
`2026_台大_NR_002_p12`	Spinal intramedullary AVM with hemorrhage	2024 `NR_017`；spinal vascular malformation
`2026_台大_NR_002_p19`	Retropharyngeal liposarcoma	2023 `GU_008`；liposarcoma，部位不同
`2026_台大_NR_002_p26`	Leptomeningeal metastasis	2025 `NR_007`
`2026_台大_PE_001`	Kawasaki disease	2023 `PE_004`
`2026_台大_PE_001_p9`	AVSD + PAH	2022 `PE_006`
`2026_台大_PE_002`	Double aortic arch／vascular ring	2025 `CV_005`
`2026_新竹台大_PE_001`	Ovarian teratoma	2025 `GU_003`
`2026_新竹台大_PE_001_p4`	First branchial cleft cyst	2024 `PE_002`；branchial cleft anomaly，subtype 不同
`2026_台大_US_001`	Gallbladder adenomyomatosis	2024 `US_001`

C．真正新增（38）

台大（33）

BR（1）：BR_002 Gynecomastia。
CH（2）：CH_001_p10 PPFE；CH_002_p12 miliary tuberculosis。
CV（2）：CV_001 paravalvular leak after AVR；CV_002 IgG4-related coronary periarteritis。
GI（4）：GI_001 Foramen of Winslow；GI_002 cholecysto-gastric／duodenal fistula；GI_002_p15 mucinous cystic neoplasm with invasive carcinoma；GI_002_p19 annular pancreas。
GU（8）：GU_001 uterine myoma；GU_001_p12 testicular torsion；GU_001_p17 adrenal cortical carcinoma；GU_001_p23 renal cortical necrosis；GU_002 vas deferens calcification；GU_002_p14 UVJ stones；GU_002_p19 ACTH-independent macronodular adrenal hyperplasia；GU_003 urinary bladder stone。
MS（6）：MS_001 Looser zone fractures；MS_001_p12 osteosarcoma；MS_001_p16 synovial osteochondromatosis；MS_002 atypical femoral fracture；MS_002_p14 ganglion cyst with PIN syndrome；MS_002_p18 PCL avulsion fracture。
NR（8）：NR_001_p10 orbital varix；NR_001_p24 right hypoglossal nerve palsy；NR_001_p31 ventral cord hernia；NR_002 pituitary apoplexy；NR_002_p33 arachnoid cyst/web；NR_003 carotid web；NR_003_p22 partially thrombosed PCA aneurysm；NR_003_p29 spinal ependymoma。
US（2）：US_001_p10 pancreatic head adenocarcinoma；US_002 gallbladder polyp。

新竹台大（5）

GU（2）：GU_001 ADPKD；GU_003 macronodular adrenal hyperplasia。
MS（2）：MS_001 lipoma arborescens；MS_002 TFCC injury。
NR（1）：NR_001 subacute combined degeneration。

資料限制

閱片 2021 可由 NTUH cases 明確辨識，故閱片包含 2021。
B 類是「同疾病家族或同判讀核心」，不是同一病例；例如同一腫瘤但部位不同仍列 B，方便複習時抓到觀念延續。

二、2026 閱片逐題 ABC 總表（按 subgroup／來源檔案）

（按 subgroup／來源檔案）

本節只重新編排前述已完成的 A7／B37／C38 結果，不重新進行影像比對。subgroup 直接採 2026 canonical case 的 hospital_short + subspecialty + source_deck。

subgroup 摘要

體系	subgroup／來源檔	題數	A	B	C
台大	BR／`2026_台大_BR.pptx`	5	0	4	1
台大	CH／`2026_台大_CH.pptx`	7	2	3	2
台大	CV／`2026_台大_CV.pptx`	10	0	8	2
台大	GI／`2026_台大_GI.pptx`	6	0	2	4
台大	GU／`2026_台大_GU.pptx`	10	0	2	8
台大	MS／`2026_台大_MS.pptx`	6	0	0	6
台大	NR／`2026_台大_NR.pptx`	13	0	5	8
台大	PE／`2026_台大_PE.pptx`	3	0	3	0
台大	US／`2026_台大_US.pptx`	3	0	1	2
新竹台大	GI／`2026_新竹台大_GI.pptx`	5	3	2	0
新竹台大	GU／`2026_新竹台大_GU.pptx`	5	0	3	2
新竹台大	MS／`2026_新竹台大_MS.pptx`	2	0	0	2
新竹台大	NR／`2026_新竹台大_NR.pptx`	5	2	2	1
新竹台大	PE／`2026_新竹台大_PE.pptx`	2	0	2	0
合計	14 個 subgroup	82	7	37	38

B 欄的歷年題號沿用原始比較報告：例如 2025 BR_003 代表 2025 台大體系 BR subgroup 的第 003 題；完整 UID 已存在者則直接顯示完整 UID。

台大｜BR

來源檔：2026_台大_BR.pptx　｜　共 5 題（A0／B4／C1）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_台大_BR_001`	Large rod-like calcifications	B	2025 `BR_003`；mammographic calcification morphology
`2026_台大_BR_002`	Gynecomastia	C	—
`2026_台大_BR_003`	Hamartoma	B	2023 `BR_008`；breast hamartoma
`2026_台大_BR_001_p13`	Invasive carcinoma NST	B	2024 `BR_005`；invasive breast carcinoma
`2026_台大_BR_002_p15`	Breast cancer with mass calcifications	B	2025 `BR_003`；malignant mass/calcification pattern

台大｜CH

來源檔：2026_台大_CH.pptx　｜　共 7 題（A2／B3／C2）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_台大_CH_001`	tracheoesophageal fistula	A	2025 `2025_台大_CH_006`；同為 72 歲女性、食道癌病史；CT 影像組逐張一致
`2026_台大_CH_002`	pneumopericardium	A	2025 `2025_台大_CH_007`；同為 29 歲男性 shock；胸片一致
`2026_台大_CH_001_p10`	Pleuroparenchymal fibroelastosis(PPFE)	C	—
`2026_台大_CH_002_p12`	miliary tuberculosis	C	—
`2026_台大_CH_001_p14`	MMPH + bilateral renal AML	B	2023 `CH_011`；MMPH／TSC association
`2026_台大_CH_002_p17`	Primary mediastinal large B-cell lymphoma	B	2023 `NR_009`；lymphoma family，anatomic presentation 不同
`2026_台大_CH_001_p20`	Pneumomediastinum + subcutaneous emphysema	B	2021 `2021_NTUH_PED_006`；extra-alveolar thoracic air

台大｜CV

來源檔：2026_台大_CV.pptx　｜　共 10 題（A0／B8／C2）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_台大_CV_001`	Paravalvular leak after aortic valve replacement	C	—
`2026_台大_CV_002`	IgG4-Related Coronary Periarteritis	C	—
`2026_台大_CV_003`	Aberrant RCA／interarterial course	B	2024 `CV_003`；coronary anomalous origin/course，非同一影像組
`2026_台大_CV_004`	Anomalous LCA／subpulmonic course	B	2024 `CV_003`；coronary anomalous origin/course
`2026_台大_CV_005`	LAA thrombus	B	2021 `2021_NTUH_CV_007`
`2026_台大_CV_001_p16`	HCM	B	2025 `CV_001`；hypertrophic cardiomyopathy
`2026_台大_CV_002_p18`	Cardiac amyloidosis	B	2025 `CV_002`；cardiac amyloidosis
`2026_台大_CV_001_p20`	ALCAPA	B	2023 `PE_001`；ALCAPA
`2026_台大_CV_002_p22`	Bicuspid aortic valve	B	2021 `2021_NTUH_CV_011`
`2026_台大_CV_001_p24`	HOCM with AR/MR	B	2025 `CV_001`；HCM/HOCM

台大｜GI

來源檔：2026_台大_GI.pptx　｜　共 6 題（A0／B2／C4）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_台大_GI_001`	Foramen of Winslow	C	—
`2026_台大_GI_002`	Cholecysto-gastric fistula / Cholecysto-duodenal fistula	C	—
`2026_台大_GI_001_p12`	Duodenal GIST	B	2021 `2021_NTUH_GI_023`
`2026_台大_GI_002_p15`	mucinous cystic neoplasm with an associated invasive carcinoma	C	—
`2026_台大_GI_001_p17`	SMA syndrome	B	2021 `2021_NTUH_GI_021`
`2026_台大_GI_002_p19`	annular pancreas	C	—

台大｜GU

來源檔：2026_台大_GU.pptx　｜　共 10 題（A0／B2／C8）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_台大_GU_001`	Uterine myoma	C	—
`2026_台大_GU_002`	Vas deferens calcification	C	—
`2026_台大_GU_003`	Urinary bladder stone	C	—
`2026_台大_GU_001_p12`	Testicular torsion	C	—
`2026_台大_GU_002_p14`	Vesicoureteric junction stones	C	—
`2026_台大_GU_001_p17`	right adrenal cortical carcinoma	C	—
`2026_台大_GU_002_p19`	ACTH-independent macronodular adrenal hyperplasia	C	—
`2026_台大_GU_003_p21`	Chromophobe RCC	B	2022 `SN_005`；RCC subtype
`2026_台大_GU_001_p23`	Renal cortical necrosis	C	—
`2026_台大_GU_002_p26`	Ovarian fibroma with torsion	B	2022 `GU_008`；ovarian fibroma/torsion

台大｜MS

來源檔：2026_台大_MS.pptx　｜　共 6 題（A0／B0／C6）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_台大_MS_001`	Looser zone fractures.	C	—
`2026_台大_MS_002`	AFF(atypical femoral fracture)	C	—
`2026_台大_MS_001_p12`	Osteosarcoma	C	—
`2026_台大_MS_002_p14`	Ganglion cyst with posterior interosseous nerve (PIN) syndrome	C	—
`2026_台大_MS_001_p16`	Synovial osteochondromatosis	C	—
`2026_台大_MS_002_p18`	PCL avulsion fracture	C	—

台大｜NR

來源檔：2026_台大_NR.pptx　｜　共 13 題（A0／B5／C8）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_台大_NR_001`	Wilson disease	B	2021 `2021_NTUH_NR_018`
`2026_台大_NR_002`	Pituitary apoplexy	C	—
`2026_台大_NR_001_p10`	Orbital varix	C	—
`2026_台大_NR_002_p12`	Spinal intramedullary AVM with hemorrhage	B	2024 `NR_017`；spinal vascular malformation
`2026_台大_NR_003`	Carotid web	C	—
`2026_台大_NR_001_p17`	Hemangioblastoma	B	2021 `2021_NTUH_NR_008`
`2026_台大_NR_002_p19`	Retropharyngeal liposarcoma	B	2023 `GU_008`；liposarcoma，部位不同
`2026_台大_NR_003_p22`	Right posterior cerebral artery partial thrombosed large aneurysm	C	—
`2026_台大_NR_001_p24`	Hypoglossal nerve; right	C	—
`2026_台大_NR_002_p26`	Leptomeningeal metastasis	B	2025 `NR_007`
`2026_台大_NR_003_p29`	Spinal ependymoma	C	—
`2026_台大_NR_001_p31`	Ventral cord hernia	C	—
`2026_台大_NR_002_p33`	Arachnoid cyst 或 Arachnoid web 寫Syrinx給一分	C	—

台大｜PE

來源檔：2026_台大_PE.pptx　｜　共 3 題（A0／B3／C0）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_台大_PE_001`	Kawasaki disease	B	2023 `PE_004`
`2026_台大_PE_001_p9`	AVSD + PAH	B	2022 `PE_006`
`2026_台大_PE_002`	Double aortic arch／vascular ring	B	2025 `CV_005`

台大｜US

來源檔：2026_台大_US.pptx　｜　共 3 題（A0／B1／C2）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_台大_US_001`	Gallbladder adenomyomatosis	B	2024 `US_001`
`2026_台大_US_002`	Gallbladder polyp	C	—
`2026_台大_US_001_p10`	Pancreatic head adenocarcinoma	C	—

新竹台大｜GI

來源檔：2026_新竹台大_GI.pptx　｜　共 5 題（A3／B2／C0）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_新竹台大_GI_001`	pneumoretroperitoneum	A	2024 `2024_台大_GI_010`；同為 67 歲女性、EGD/CFS 後腹痛；腹部影像一致
`2026_新竹台大_GI_002`	intrapancreatic accessory spleen	A	2024 `2024_台大_GI_011`；同為 24 歲女性、胰尾病灶、CA19-9 7.86；CT/MRI 組一致
`2026_新竹台大_GI_003`	papillary process of caudate lobe	A	2024 `2024_台大_GI_012`；同為 57 歲女性、多年 LUQ pain、EUS external compression；CT 組一致
`2026_新竹台大_GI_001_p10`	Pancreatic lymphoma	B	2021 `2021_NTUH_GI_015`
`2026_新竹台大_GI_002_p12`	Gastric GIST	B	2021 `2021_NTUH_GI_023`；GIST，部位不同

新竹台大｜GU

來源檔：2026_新竹台大_GU.pptx　｜　共 5 題（A0／B3／C2）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_新竹台大_GU_001`	poly-cystic kidney disease or ADPKD	C	—
`2026_新竹台大_GU_002`	Emphysematous pyelonephritis	B	2021 `2021_NTUH_GU_005`
`2026_新竹台大_GU_001_p7`	Retrocaval ureter	B	2025 `GU_008`
`2026_新竹台大_GU_002_p9`	Emphysematous pyelonephritis	B	2021 `2021_NTUH_GU_005`；另一個新病例
`2026_新竹台大_GU_003`	Macronodular adrenal hyperplasia	C	—

新竹台大｜MS

來源檔：2026_新竹台大_MS.pptx　｜　共 2 題（A0／B0／C2）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_新竹台大_MS_001`	lipoma arborescens	C	—
`2026_新竹台大_MS_002`	TFCC injury	C	—

新竹台大｜NR

來源檔：2026_新竹台大_NR.pptx　｜　共 5 題（A2／B2／C1）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_新竹台大_NR_001`	subacute combined degeneration	C	—
`2026_新竹台大_NR_002`	Orbital schwannoma	B	2023 `NR_011`
`2026_新竹台大_NR_001_p6`	colloid cyst	A	2025 `2025_台大_NR_008`；同為 38 歲男性、incidental finding；MRI 影像組一致
`2026_新竹台大_NR_002_p8`	Hypothalamic hamartoma	B	2021 `2021_NTUH_NR_010`
`2026_新竹台大_NR_003`	Lhermitte-Duclos disease	A	2025 `2025_台大_NR_009`；同為 56 歲女性、incidental finding；小腦 MRI 一致

新竹台大｜PE

來源檔：2026_新竹台大_PE.pptx　｜　共 2 題（A0／B2／C0）

2026 UID	診斷／答案	ABC	歷年對應（A/B）
`2026_新竹台大_PE_001`	Ovarian teratoma	B	2025 `GU_003`
`2026_新竹台大_PE_001_p4`	First branchial cleft cyst	B	2024 `PE_002`；branchial cleft anomaly，subtype 不同