单选题 The American Cancer Society, which has long been a staunch defender of most cancer screening, is now saying that the benefits of detecting many cancers, especially breast and prostate, have been overstated. It is quietly working on a message, to put on its Web site early next year, to emphasize that screening for breast and prostate cancers and certain other cancers can come with a real risk of over treating many small cancers while missing cancers that are deadly. The cancer society"s decision to reconsider its message about the risks as well as potential benefits of screening was spurred in part by an analysis published Wednesday in The Journal of the American Medical Association, Dr. Otis Brawley, chief medical officer of the cancer society, said. In it, researchers report a 40 percent increase in breast cancer diagnoses and a near doubling of early stage cancers, but just a 10 percent decline in cancers that have spread beyond the breast to the lymph nodes or elsewhere in the body. With prostate cancer, the situation is similar, the researchers report. If breast and prostate cancer screening really fulfilled their promise, the researchers note, cancers that once were found late, when they were often incurable, would now be found early, when they could be cured. A large increase in early cancers would be balanced by a corresponding decline in late-stage cancers. That is what happened with screening for colon and cervical cancers. But not with breast and prostate cancers. Still, the researchers and others say, they do not think all screening will—or should—go away. Instead, they say that when people make a decision about being screened, they should understand what is known about the risks and benefits. For now, those risks are not emphasized in the cancer society"s mammogram message which states that a mammogram is" one of the best things a woman can do to protect her health. " The new analysis finds that prostate cancer screening and breast cancer screening are not so different. Both have a problem that runs counter to everything people have been told about cancer; They are finding cancers that do not need to be found because they would never spread and kill or even be noticed if left alone. That has led to a huge increase in cancer diagnoses because, without screening, those innocuous cancers would go undetected. At the same time, both screening tests are not making much of a dent in the number of cancers that are deadly. That may be because many lethal breast cancers grow so fast they spring up between mammograms. And the deadly prostate ones have already spread at the time of cancer screening. The dilemma for breast and prostate screening is that it is not usually clear which tumors need aggressive treatment and which can be left alone. " The issue here is, as we look at cancer medicine over the last 35 or 40 years, we have always worked to treat cancer or to find cancer early, " Dr. Brawley said. " And we never sat back and actually thought. Are we treating the cancers that need to be treated?"
单选题 The first two paragraphs of the passage show the American Cancer Society______.
【正确答案】 A
【答案解析】解析:结合原文前两段中“the benefits…have been overstated”和“reconsider its message about the risks aswell as potential benefits”处信息,可知之前对于乳腺癌和前列腺癌症的危害过于危言耸听,而忽略了人体其他器官癌症的危害性,而这些危害性也有可能是致命的。C和D两个选项和这些信息相矛盾,故排除。A是对原文意思的概括,正确,而B则是过度推断,排除。
单选题 The author turns to the statistics and follow-up reasoning, the purpose of which is to tell the reader______.
【正确答案】 C
【答案解析】解析:根据题干定位到原文第三段第一句可知,研究者的数据表明排查出乳腺癌的结果增长40%,早期癌症的迹象也增加了一倍,但是由乳腺癌扩散至淋巴或身体其他部位的情况却下降了10%。目的是指出上述排查的效果并不成功,又由第四段可知,癌症早发现可治愈,早期癌症发现的几率将大幅增加,同时晚期癌症的几率将减少,但只适用于结肠癌和子宫颈癌,而不适用于“乳腺癌和前列腺癌”,也就是C选项所概括的“late-stage breast and prostate cancers”。故C为答案。
单选题 As suggested in Paragraphs 6 and 7, the difference between benign and deadly tumors lies in the fact that______.
【正确答案】 C
【答案解析】解析:结合原文六、七段的两处信息,“They are finding cancers that do not need to be found”对应于题目中的“benign tumors”(良性肿瘤),而“lethal breast cancers grow so fast they spring up between mammograms”对应于“deadly tumors”(恶性肿瘤),在两者的众多区别中,C选项是其中一种,故为正确答案。
单选题 When hearing Dr. Brawley saying "The issue here is... And we never sat back and actually thought. Are we...?" , one may be left with an impression that American cancer medicine begins to______.
【正确答案】 B
【答案解析】解析:根据题干定位到原文第八段,“Are we treating the cancers that need to be treated?”表达了Dr.Brawley的观点,再结合前文传递的信息可知American cancer medicine是在反思癌症排查的重点和治疗的理念,也就是B选项所说的“去查找和治疗所有的癌症也许不是正确的做法”,故B为答案。
单选题 When finishing reading the passage, one may conclude that in the past decades American cancer medicine has been______.
【正确答案】 D
【答案解析】解析:纵观全文,“American cancer medicine”对于过去的做法进行了反思,并且在寻找一种改变,D选项中的“labeling and treating benign tumors as though they could be lethal when in fact they are not dangerous”正确地概括了反思的内容,而其中的“a change is in sight now”指出了可能发生的变化,是一个全面的概括,D是正确答案。而其他三项都只涉及到这种反思的一个层面,故排除。