问题 单项选择题

78岁,男性,平日身体无任何不适,体检时B超发现左肾有直径约4cm的占位性病变。切除肿物后,病理检查肉眼见:肿瘤界限清楚,无包膜,直径5cm,切面褐色;显微镜下:瘤细胞圆形或多边形,细胞质富含嗜酸性颗粒,核圆,核仁居中,呈巢状和腺泡状排列。其诊断最可能为()

A.肾细胞癌

B.透明细胞癌

C.肾颗粒细胞癌

D.肾嗜酸细胞腺瘤

E. * * 状肾细胞癌

答案

参考答案:D

解析:肾嗜酸细胞腺瘤是肾脏的良性肿瘤,可能来源于集合管插入细胞。发病高峰年龄约70岁,多为男性,一般不发生恶变。肉眼:肿瘤界限清楚,无包膜;直径可达12cm,多呈棕褐色,富含血管。镜下:瘤细胞圆形或多边形,细胞质富含嗜酸性颗粒,核圆,核仁居中,偶见核分裂象,呈巢状和腺泡状排列。间质内细胞较少,透明变性。

单项选择题 A1/A2型题
阅读理解

E

LOS ANGELES, the US

Los Angeles Superior Court Judge Mitchell Beckloff ruled Michael Jackson,s father can

receive some medical records related to his superstar son,s death.

The judge will review the records first before making them accessible to Joe Jackson,s

lawyer,Brian Oxman.Beckloff said the man can only receive records on or after June 25一

the day Michael Jackson died.

VANCOUVER,CANADA

World number one Zhou Yang overcame three South Korean players to win the women,s

short track speed skating 1,500 meters final at the Vancouver Olympic Winter Games.

The l8-year-old made perfect debut(首次亮相)as she set an Olympic record of a winning time

of 2 minutes and l6,993 seconds among other seven skaters.

China has never won the women,s l,500 meters in the Olympics before,and this time Zhou,s

performance gave China its third gold medal in Vancouver.

BElJING,CHINA

China,s first compulsory,(强制性的)safety regulation on primary school buses,which re-

quires every seat to have a seat belt,will take effect on July l to help ensure safer transporta-

tion for the country,s 100 million students.

Each primary school bus must also be equipped with a“black box,”0r a recording monitor,

to record speed,travel time and distance.Also,the bus must be staffed by teachers who will

ensure student safety.

In addition,the new rule states that the color of the school buses should be yellow,and each bus must have at least two emergency exits.

Texas,the US

A software engineer who crashed his plane into a Texas building housing a United States

tax agency office,killing himself and at least one worker,apparently left behind an angry anti-government manifesto(宣言) detailing his financial difficulties and tax problems.

The pilot took off from an airport in Georgetown.about 48 km from Austin.He flew low

over the Austin skyline before plowing into the building.

57.We can learn from the first news that_________.

A.all Michael Jackson,s medical records can be accessed

B.Mitchell Beckloff will not go over the record first

C.medical records before June 25 won,t be received

D.Joe Jackson,s lawyer will not get any records

58.The new school bus safety rules include all the followings EXCEPT_____________.

A.the driver,s experience    B.the equipment of the bus

C.the color of the bus      D.emergency exits

59.It seems the software engineer crashed into the US tax office mainly because of___________.

A.unhappy marriage    B.mental disease

C.heavy work pressure D.financial and tax problems

60.We can infer from the news that____________.

A.Joe Jackson will be the first to receive the medical records

B.Zhou Yang once broke the Olympic records in the same event

C.the tax agency office is somewhere inside the building in Texas

D.the software engineer flew high over skyline before crashing into the building