
患者,女性,18岁。右侧躯干可见一10cm长褐色扁平皮损,表面角化、粗糙。2岁发病,近期发展较快。该患者诊断应首先考虑()。
A . A.表皮痣
B . 脂溢性角化病
C . 皮角
D . 鳞状细胞癌
E . 汗管瘤


A . A.表皮痣
B . 脂溢性角化病
C . 皮角
D . 鳞状细胞癌
E . 汗管瘤
Coalhole Kid
Julie, a teenage girl, has lived in a freezing coal-shed for three weeks. Her mother kicked her out because the girl couldn't find a job. Julie said, "Mum was irritable (1) ______fed up with me because (2) ______couldn't find a job to bring (3) ______.money in. We had a big row. She (4) ______me out and threw (5) ______.clothes after me.
“I couldn't think (6)anywhere to go that night except (7) ______coal-shed. And I just stayed there. (8)____not very warm but leaving the (9) ______bulb on all night helped out.
“(10) ______popped her head in now and (11) ______but she and Anita, my younger sister, almost ignored (12)_____ The door to the house was (13)______ so I couldn't get in. I just slept in the shed (14) ______of the day."
I thought of (15) ______to the social services but it (16) ______away, and I'm flat broke."
I know I must (18) ______ a job for money, but it's (19) ______said than done. Lots of girls I was at school (20) ______can't find work either, but Mum doesn't seem to understand."