.How do we say the number “4,135 ”?   

A．four thousand ,one hundred , thirty five

B．four thousand , one hundred and three five

C．four thousand ,one hundred and thirty five

D．four thousand ,one hundred and thirty-five

男性，60岁，进行性吞咽困难6个月，全面检查后确诊为晚期食管癌。试问下列哪一项不能作为晚期食管癌的依据（）

A.声音嘶哑

B.持续胸背痛

C.食管气管瘘

D.完全性梗阻

E.左锁骨上有坚硬、不能移动肿大淋巴结