患者女，65岁，洗澡时发现右乳外上近 * * 处有一肿物。既往体健。查体：右乳外上近 * * 处2cm×1.5cm质硬肿物，肿物局部皮肤稍凹陷，无压痛，边界尚清，腋窝未触及明显肿大淋巴结。针吸病理证实为：浸润性导管癌。 目前最恰当的术式是（）
A. * * 单纯切除术
B.肿块局部切除术
C.乳腺癌根治术
D.乳腺区段切除+腋窝淋巴结清扫术
E.乳腺癌改良根治术
参考答案：E
| Another critical factor that plays a part in susceptibility to colds is age. A study done by the University of Michigan School of Public Health revealed particulars that seem to hold true for the general population. Infants are the most cold-ridden group, averaging more than six colds in their first year. Boys have more colds than girls up to age three. After the age of three, girls are more susceptible than boys, and teenage girls average three colds a year to boys’ two. The general incidence of colds continues to decline into maturity. Elderly people who are in good health have as few as one or two colds annually. One exception is found among people in their twenties, especially women, who show a rise in cold infections, because people in this age group are most likely to have young children. Adults who delay having children until their thirties and forties experience the same sudden increase in cold infections. The study also found that economics plays an important role. As income increases, the frequency at which colds are reported in the family decreases. Families with the lowest income suffer about a third more colds than families at the upper end. Lower income generally forces people to live in more cramped quarters than those typically occupied by wealthier people, and crowding increases the opportunities for the cold virus to travel from person to person. Low income may also adversely influence diet. The degree to which poor nutrition affects susceptibility to colds is not yet clearly established, but an inadequate diet is suspected of lowering resistance generally. |
The author’s tone in this passage could be ______ .
A．tentative
B．humorous
C．certain
D．critical