题目内容

患者女，46岁，人工流产后4个月，阴道流血3周，尿妊娠试验阳性，胸部平片显示双肺有散在粟粒状阴影，子宫刮出物镜检未见绒毛结构。首先考虑的诊断是

A. 葡萄胎
B. 侵蚀性葡萄胎
C. 绒毛膜癌
D. 吸宫不全合并肺结核
E. 侵袭性葡萄胎

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