試題詳解

3. 一69歲男性，病理切片診斷確診罹患小細胞肺癌 (SCLC, small-cell lung cancer)，PET/CT掃描結果顯 示右側肺門(hilar)部位有一4 x 5公分腫塊，且同側有 中等量(moderate)的肋膜積水，經肋膜積水穿刺檢 查，肋膜積水細胞學證實同樣有SCLC癌細胞。下列 敘述何者為真?
(A) Surgical therapy alone has a high curative rate for his stage of SCLC
(B) Radiation plays no palliative role at all in therapy for this disease
(C) Twenty percent of patients with SCLC are diagnosed with the same stage of disease as this patient
(D) The majority of patients with SCLC of this stage respond to chemotherapy alone and go into remission with a very high 3-year survival
(E) This patient has extensive-stage disease