患者男,62岁。因为“体检发现左肺占位性病变2天”入院。既往有吸烟史35年。入院后行胸部CT示:左上肺叶直径约2cm的占位性病变,纵隔内未见肿大淋巴结。纤维支气管镜可见左上叶支气管新生物,活检示:高分化鳞状细胞癌。患者行头颅MRI、腹部B超、骨ECT均未发现异常。患者的诊断是()。A、左上肺高分化鳞癌cT<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/969d31b9550af7d8e4d5d48fb77bd56d.gif' />N<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/c2b526152c0bf4988d84f109658cbfbe.gif' />M<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/c2b526152c0bf4988d84f109658cbfbe.gif' />

B、左上肺高分化鳞癌pT<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/969d31b9550af7d8e4d5d48fb77bd56d.gif' />N<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/c2b526152c0bf4988d84f109658cbfbe.gif' />M<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/c2b526152c0bf4988d84f109658cbfbe.gif' /> C、左上肺高分化鳞癌cT<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/477fc29f55df4f7608a405a0f46566da.gif' />N<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/c2b526152c0bf4988d84f109658cbfbe.gif' />M<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/c2b526152c0bf4988d84f109658cbfbe.gif' /> D、左上肺高分化鳞癌pT<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/477fc29f55df4f7608a405a0f46566da.gif' />N<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/c2b526152c0bf4988d84f109658cbfbe.gif' />M<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/c2b526152c0bf4988d84f109658cbfbe.gif' /> E、左上肺高分化鳞癌cT<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/45e290fa8f641bdaf352af5e5ee5880a.gif' />N<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/c2b526152c0bf4988d84f109658cbfbe.gif' />M<img src='https://img2.soutiyun.com/ask/uploadfile/11214001-11217000/c2b526152c0bf4988d84f109658cbfbe.gif' /> 若患者经完善相关检查,无手术禁忌证,那么首选的术式是()。A、肺局部切除术 B、肺叶切除术 C、全肺切除术 D、肺叶切除术+肺门纵隔淋巴结清扫 E、扩大性肺切除术+肺门纵隔淋巴结清扫 若患者在手术或放射治疗后3年,出现双肺占位性病变,患者拒行化疗,那么患者可以选择的最佳分子靶向治疗药物为()。A、索拉非尼 B、甲磺酸伊马替尼 C、吉非替尼 D、厄罗替尼 E、拉帕替尼

时间:2023-09-29 22:36:19

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