男性，46岁，体格检查B型超声波发现右肾下极有一2cm×2cm占位，排泄性尿路造影未见右肾盂肾盏形态改变，CT示右肾恶性肿瘤，上述检查左肾形态和功能均正常。以下各项治疗方案，哪项正确

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• 1男性，60岁，无痛性血尿1周，膀胱镜检查发现距左输尿管口外侧0.5cm处有一2cm×3cm的菜花样肿瘤，呈暗红色，蒂部看不清，肿瘤周黏膜胃黏膜有水肿。活检为：移行上皮细胞癌，Ⅱ级。宜选用哪种治疗方法

  A.经尿道膀胱切除肿瘤

  B.切开膀胱摘除肿瘤

  C.膀胱部分切除

  D.膀胱部分切除及左输尿管膀胱吻合术

  E.全膀胱切除，尿流改道

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• 2关于前列腺癌的叙述，下列哪项是错误的

  A.绝大部分为腺癌

  B.多发生于老年人

  C.限于包膜内的肿瘤可行前列腺癌根治性切除术

  D.超出包膜的肿瘤则行内分泌治疗，必要时放疗

  E.PSA检查可确诊前列腺癌

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• 3男性，58岁，无痛性肉眼血尿8个月，膀胱镜检查提示膀胱三角区有3cm团块，双合诊检查：肿物坚硬，诊断为膀胱浸润性癌。病人一般情况良好，最佳的治疗方案是

  A.回肠膀胱术

  B.膀胱全切术及回肠膀胱术

  C.膀胱部分切除术

  D.姑息性膀胱肿瘤电切手术

  E.放射治疗

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• 4男性，50岁，右腰疼痛，血尿，低热3个月。体格检查：贫血貌，腹部肥大，未扪及肿块，右精索静脉曲张Ⅲ°，左精索静脉未见曲张。血沉快。在影像学检查结果未出结果前，此病人的诊断可能是

  A.精索静脉曲张

  B.肾母细胞瘤

  C.膀胱癌

  D.肾癌

  E.肾盂肿瘤

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• 5男性，35岁，包皮过长，发现阴茎冠状沟有一菜花样肿物半年，直径2cm，距离阴茎根部5cm，双腹股沟区触及多个蚕豆大小之淋巴结。合理的治疗是

  A.阴茎部分切除

  B.阴茎全切

  C.阴茎部分切除及腹股沟淋巴结清扫

  D.阴茎全切及腹股沟淋巴结清扫

  E.阴茎部分切除及腹膜后淋巴结清扫

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• 6The main diagnostic evidence for renal pelvic carcinoma is

  A.Microscopic hematuria

  B.Terminal hematuria

  C.Gross hematuria throughout urination accompanied with urinary tract irritation symptoms

  D.Total hematuria with blood clots

  E.Painless intermittent gross hematuria

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• 7Which of the following is incorrect about hematuria induced by bladder carcinoma?

  A.Painless in most cases

  B.Usually intermittent

  C.Gross hematuria throughout urination in most cases

  D.Severity of hematuria inconsistent with size of carcinoma

  E.Severity of hematuria parallel with malignance of carcinoma

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• 8A 40 year old male presents with pain on the right flank and hematuri

  A.An ab­dominal CT reveals a large 8*8 cm size solid mass in the right kidney and 3 * 3cm solid mass occupying the upper pole of left kidney. The most appropriate surgical treatment for this patient isA.bilateral radical nephrectomy

  B.right radical nephrectomy and biopsy of the mass from opposite kidney

  C.right radical nephrectomy and left partial nephrectomy

  D.right radical nephrectomy only

  E.left radical nephrectomy and right partial nephrectomy

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• 9A 55 year old male presented with painless terminal hematuri

  A.Cystoscopic exam­ination revealed a solitary papillary tumor. A histopathological examination of completely resected tumor is suggestive of grade Ⅲ (high grade) transitional cell carcinoma with no muscle invasion. Further management of this patient is best done byA.just follow up

  B.intravesical chemotherapy

  C.intravesical BCG

  D.partial cystectomy

  E.cystectomy

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• 10睾丸肿瘤可出现

  A.窦道形成

  B.保持原形，光滑，质硬而沉重

  C.菜花样新生物，坏死，恶臭

  D.透光试验（+）

  E.局部红肿热痛

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