男性，50岁，间断性无痛性肉眼血尿3个月余，膀胱镜检查发现膀胱左侧壁有直径约2cm大小绒毛样肿瘤，似水草样在水中漂浮。B超提示左侧壁肿瘤，约2.0cm×1.5cm大小，蒂细小，距左输尿管口3cm。CT可见膀胱壁完整。该病人最适合的治疗方法是
A．膀胱部分切除术
B．膀胱部分切除+左输尿管膀胱吻合术
C．膀胱切开肿瘤局部切除
D．经 * * 膀胱肿瘤切除术
E．膀胱灌注化疗
参考答案：D
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| Eating the Cookie One of my patients, a successful businessman, tells me that before his cancer he would become depressed unless things went a certain way. __1__ was"having the cookie. "If you had the cookie, things were good. If you didn't have the cookie, life was __2__. Unfortunately, the cookie kept __3__. Some of the time it was money, and sometimes power. At __4__ time, it was the new car, the biggest contract. . . . A year and a half after his diagnosis of prostate(前列腺)cancer, he sits __5__ his head regretfully. "It seems that I stopped learning how to __6__ after I was a kid. When I give my son a cookie, he is happy. If I take the cookie away or it __7__, he is unhappy. But he is two and a half and I am forty three. It's taken me this long to understand that the __8__ will never make me happy for long. The __9__ you have the cookie it starts to fall to pieces or you start to __10__ about it crumbling (弄碎)or about someone trying to take it away from you. You know, you have to __11__ a lot of things to take care of the cookie, to keep it from crumbling and be __12__ that no one takes it away from you. You may not even get a chance to eat it __13__ you are so busy just trying not to lose it. __14__ the cookie is not what life is about." My patient laughs and says __15__ has changed him. For the first time he is __16__. No matter if his __17__ is doing well or not, no matter if he wins or loses at golf. "Two years ago, cancer __18__ me, 'What is really important?' Well, life is important. Life. Life any way you can, have it, life with the cookie, life without the cookie. Happiness does not have anything to __19__ with the cookie:it has to do with being __20__." | ||||
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