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问题 单项选择题

患者，女，26岁，体检时发现甲状腺右叶内有一1cm大小的孤立结节，无任何自觉症状。

该患者行手术时病理检查(冰冻)：“甲状腺 * * 状腺癌”为主，部分为“滤泡状腺癌”，有较完整的包膜，无腺体被膜侵犯，无肿大淋巴结，其手术治疗方案应是

A．肿瘤分化良好，有完整包膜，应行肿瘤摘除

B．有滤泡状腺癌成分，应行甲状腺全切除与双侧颈部淋巴结清扫术

C．肿瘤只限于右叶，又无被膜侵犯，应行甲状腺右叶全切除

D．属分化良好型，应选用右叶与峡部全切除，左叶次全切除

E．应行右叶全切除与右颈部淋巴结清扫术

答案

参考答案：D

判断题

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Americans have four primary avenues for making friends: at work, at school, through a hobby or a (1) such as volunteer work and discussion group, or through a family or (2) .
In American culture, a job is more than the work that one performs between the hours of 9 a.m. and (3) . Work becomes a major socializing influence. Many young mothers who (4) their jobs to care for small children remark on the loneliness of their new lifestyles because they have lost their forum for (5) .
A great number of American employers recognize business social (6) and use it to build a family atmosphere on the job so that employees will feel (7) in their work environment. Some employers arrange company get-togethers in their home or at a (8) . American companies have at least one (9) annually, usually at Christmas time. Many corporations have (10) where employees and administrators alike dress (11) to play games such as baseball and volleyball.
Top American administrators often hold social gatherings (12) . Depending upon the size of the employer’s home and the number of (13) . These social gatherings may be picnics, pool parties, or (14) . If the company is large, an employer may hold what Americans call (15) . For an open house, the employer will invite his employees to come to his home (16) between 1 p.m. on a certain day. Those invited usually stay for (17) , chatting with the other guests and their host. People come and go (18) during the designated hours, and the host keeps refreshments, usually (19) or hors d’oeuvres and beverages, available for all who come. For such social gatherings, it is considered (20) the invitation unless you have an excellent reason.
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