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女性，56岁，因头痛、头晕2周；头颅CT检查发现左小脑及左顶叶发现两处占位，不除外脑转移瘤。

若该患者明确诊断为肺腺癌脑转移，最合理的治疗方案是

A．同期行脑部病灶和肺疗病灶切除术

B．同期行脑部病灶和肺部病灶放疗

C．全身化疗同时行脑部病灶放疗

D．全身化疗2个疗程后，手术切除肺部病变

E．脑部放疗后行右肺癌根治术

答案

参考答案：C

解析：患者一发生转移已失去手术时机只能化疗和放疗。

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截疳散功效与作用
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Health officials in western Siberia are to begin in slaughter of thousands of birds today after identifying Russia’s first outbreak of a bird flu strain that can be fatal in humans. Doctors in neighboring Kazakhstan have also (1) that a 19-year-old poultry worker (2) admitted to hospital with (3) of bird flu, only to be diagnosed (4) double pneumonia.
The H5N1 strain of avian (5) has killed 60 people (6) 2fib in Vietnam, Thailand, Cambodia and Indonesia, but has rarely been found in birds or humans (7) Asia.
Health officials (8) that HSN1 is infecting migrating birds, which could spread the (9) into Europe. Earlier this year China registered the first outbreak of H5N1 (10) wild birds, some of which (11) to breeding grounds in Siberia. These birds could come (12) contact with others flying to Europe and North America.
Russia’s (13) began in the Novosibirsk (14) , about 1,750 miles (15) of Moscow in the Asian part of Russia, early last month, but the veterinary service (16) the virus only last week. Valery Mikheyev, the chief sanitary doctor of Novosibirsk, said that teams had been (17) the (18) birds and supervising the slaughter in13 (19) villages. He said, "The state of (20) of the inhabitants of these areas gives (21) cause for alarm. Up to 6,000 people are being (22) per day.
The virus seems to have (23) only private farms that let (24) mix with wild birds. Further outbreaks were registered in the Omsk and Altai regions, but the strain had (25) to be determined, Russia’s Emergency Situations Ministry said.
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