女性，53岁。右股骨上端疼痛20天。1年前曾行乳癌根治术。查体：右股骨上端肿胀压痛，右髋活动受限。X线检查：右股骨颈及转子下溶骨性破坏。最可能的诊断是（）

A.骨肉瘤

B.软骨肉瘤

C.纤维肉瘤

D.骨巨细胞瘤

E.乳癌骨转移

President Bush arrived in Washington and forged ahead with an ambitious agenda- (1) tax cuts, vast changes in federal social programs, expansions of executive power and (2) broad remaking of energy and education policies.
Claiming a mandate by simply declaring (3) existence, his early successes dazzled his critics. With guru Karl Rove directing the (4) , Bush won a stunning series of political victories.
He muscled his agenda through (5) friendly Congress, and gained seats for his party in the 2002 midterm elections. (6) biggest triumph came in 2004, when he won a second term despite a (7) unpopular war.
The "permanent" Republican majority he and Rove envisioned even seemed attainable (8) Bush plunged himself into his most ambitious legislative effort yet: a partial privatization (9) Social Security.
But the president who boasted about "political capital" in the heady (10) after his re-election now faces the worst of political fates as he enters (11) final year in office: borderline irrelevance.
The president’s second term has (12) defined by legislative paralysis, marked by record-low approval ratings, presidential candidates who are (13) from his shadow, and a lingering war that’s sapping his remaining reservoirs of (14) .
As he enters his final year in office with the war continuing, Republican (15) for president bolting from his shadow, and his party back in the minority (16) Congress, he is politically weakened, an early entry into lame-duck status.
And the (17) Washington atmosphere he hoped to cure is just as nasty as it was (18) he came to office seven years ago.
"lie’s left our political institutions much (19) troubled than they were before," said Thomas E. Mann, a senior fellow at (20) Brookings Institution, a Washington-based think tank. "He didn’t create the ideological polarization, but he magnified it. \