问题 单项选择题 A1/A2型题

患者女,42岁。左 * * 外上象限4cm×3cm肿块,同侧腋窝淋巴结多个肿大融合,病理检查结果提示为左乳浸润性导管癌,13枚腋窝淋巴结中4枚阳性示阳性,ER++,PR-,Her-2/neu-。该患者的临床分期考虑为()

A.Ⅰ期

B.ⅡA期

C.ⅡB期

D.ⅢA期

E.ⅢB期

答案

参考答案:D

解析:患者为T2N2M0,为ⅢA期。乳腺癌pT2的定义:肿瘤的最大径大于2.0cm,小于等于5.0cm(2.1~5.0cm)。pN2的定义4~9个腋窝淋巴结转移和(或)临床上明显内乳淋巴结转移,但无腋窝淋巴结转移的证据。AJCC临床分期如下:TisN0M0为0期;T1N0M0为Ⅰ期;ⅡA期为T0N1M0、T1N1M0、T2N0M0;ⅡB期为T2N1M0、T3N0M0;而T0N2M0、T1N2M0、T2N2M0、T3N1M0、T3N2M0为ⅢA期;ⅢB期为T4N0M0、T4N1M0、T4N2M0;若任何TN3M0为ⅢC期;Ⅳ期为任何T任何NM1。该患者为T2N2M0,为ⅢA期。

阅读理解

Dear Mrs. Smith,

I was a student of yours in Grade Six, and I hope you still remember me. I’m writing this letter because I want to let you know that the school year with you was important and special to me. It made a great contribution(贡献) to my life.

I know I was very quiet in your class, and you never said much to me. But you did something that made a big difference in my life. You see, all through my first years in schools. I hated to read. Books were just words that had very little to do with me, and I was bored by them. I’ll never forget the first day of Grade Six when you took out a thick book and began to read the story to our class. Your voice seemed to change with the people in the story, and you drew pictures in my mind as you read aloud. Since that day, I couldn’t wait until after lunch when you would read to the class. You read us all kinds of wonderful books.

During the summer after my year in your class, I missed hearing the stories you would read. So one day I picked up a book and read it all on my own. I found out that I could make the words interesting, too. Now, I love to read! Thank you for opening the world of books for me.

Yours,

Linda

小题1:This letter is about a girl saying “     ” to a teacher.

A.Happy Teachers’ Day

B.Thank you

C.Goodbye

D.Sorry小题2:Linda was not sure if Mrs. Smith could remember her because    at school

A.she wasn’t a good student.

B.she wasn’t good at all her lessons

C.she had few words

D.she liked reading小题3:Mrs. Smith got Linda        .

A.to enjoy reading

B.to enjoy drawing pictures

C.to write books

D.to read aloud小题4:Which is not true in the story?

A.The teacher often said much to Linda.

B.The teacher did something important in Linda’s life.

C.The teacher opened the world of books for Linda.

D.The teacher read them all kinds of wonderful books.

多项选择题