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患者女，42岁，因“发现左乳内上象限肿物1周”来诊。查体：左乳内上象限1.5cm×1.5cm肿物，质硬，活动， * * 皮肤正常；双侧锁骨上区和腋窝未触及肿大淋巴结。双乳钼靶X线片：左乳内上象限肿物，倾向恶性。肿物细针穿刺活检：癌。胸部X线片和腹部B型超声未见转移。遂收入院行左乳肿瘤区段切除+左侧腋淋巴结清扫术。术后病理：左乳浸润性导管癌Ⅱ级，1.5cm×1.5cm×1.0cm，切缘阴性；ER（++），PR（+++），HER-2（－）；腋淋巴结转移0/16。

关于该患者术后的放射治疗，叙述正确的有（）。

A.无须放射治疗

B.照射锁骨上腋顶

C.照射腋窝

D.照射内乳

E.照射同侧乳腺胸壁

F.需要乳腺原发灶瘤床补量

答案

参考答案：E, F

填空题

When I was growing up, I was embarrassed to be seen with my father. He (1) severely crippled and very short, and when we would walk together, his hand on my arm (2) balance, people would stare. I would inwardly be afraid (3) squirm at the unwanted attention. If he ever noticed or was bothered, he never let (4) .
It was difficult to coordinate (5) steps - his halting, mine impatient - and because of that, we didn’t say much as we went along. But as we started out, he always said, "You (6) the pace. I will try to adjust to you. "
Our usual walk was to or (7) the subway, which was how he got to (8) . He went to work sick, and (9) nasty weather. He almost never missed a day, and would (10) it to the office even if (11) could not: a matter of pride!
He never talked about himself as an object of pity, (12) did he show any envy of the more fortunate or able. What he looked for in others was a "good heart", and if he found one, the owner was good enough for him.
Now that I am older, I believe that is a proper standard (13) which to judge people, even though I still don’t know precisely (14) a "good heart" is. But I know the times I don’t have one myself.
He has (15) gone many years now, but I think (16) him often. I wonder if he sensed my reluctance to be seen with him during our (17) . If he did, I am (18) I never told him how sorry I was, how unworthy I was, how I regretted it. I think of him when I complain about trifles, when I am (19) of another’s good fortune, when I don’t have a "good heart".
At such times I put my hand on his arm to regain my (20) , and say, "You set the pace, I will try to adjust to you.\
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单项选择题

《特别重大事故调查程序暂行规定》是国务院( )发布的。

A．1988年3月29日

B．1989年1月1日

C．1989年3月29日

D．1989年12月29日
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