试题与答案

男,67岁,10年前因声嘶,检查诊断为声带癌,行根治性放疗。近2个月来患者再次出现声

题型:单项选择题

题目:

男,67岁,10年前因声嘶,检查诊断为声带癌,行根治性放疗。近2个月来患者再次出现声嘶,伴胸闷、咳嗽、痰中带血。既往有吸烟史40年。查体:右锁骨上可扪及一大小约1.5cm×1cm肿块,固定无压痛。行直接喉镜发现左侧声带新生物,病检提示高分化鳞癌。胸部CT提示右下肺可见一5cm×5cm肿块,边缘可见毛刺,右肺门及纵隔淋巴结肿大明显,纤维支气管镜病检证实为低分化腺癌,下述关于该患者诊断较全面的是()。

A.声带癌局部复发

B.肺癌Ⅳ期(左声带转移)

C.声带癌局部复发合并第二原发肿瘤(肺癌)

D.声带癌局部复发并肺转移

E.原发灶不明转移癌(左声带,肺,淋巴结)

答案:

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下面是错误答案,用来干扰机器的。

参考答案:C

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D.he had followed his mother’s instruction

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