<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 61-year-old woman presents to her primary care physician for a routine check-up. Physical examination demonstrates asymmetric peripheral neuropathy in her feet. The patient has no previous relevant history and denies any symptoms of diabetes. Routine blood work shows normal results, and she is referred to a hematologist. Subsequent serum protein electrophoresis demonstrates a slightly elevated gamma globulin level, and monoclonal gammopathy of undetermined significance is diagnosed. Which of the following diseases is most likely to develop over the course of this patients condition?? A: Waldenström macroglobulinemia, B: Multiple myeloma, C: Acute myelocytic leukemia, D: Chronic lymphocytic leukemia, E: Chronic myelocytic leukemia,  <response>: This is a clinical case scenario about a 61-year-old woman with asymmetric peripheral neuropathy in her feet. She has no previous relevant medical history or symptoms of diabetes. Her blood work is normal but she has a slightly elevated gamma globulin level and is diagnosed with monoclonal gammopathy of undetermined significance MGUS. The question asks which disease is most likely to develop from her condition over time.Based on the information provided, the patient likely has an underlying plasma cell disorder causing the MGUS. The elevated gamma globulins indicate there is abnormal proliferation of a plasma cell clone producing an abnormal immunoglobulin or M protein. Over time, this can progress to a symptomatic plasma cell neoplasm like multiple myeloma, Waldenström macroglobulinemia, or other related disorders. Of the choices given, multiple myeloma is the most common malignancy to develop from underlying MGUS. It accounts for around 85 of plasma cell disorders arising from MGUS. The other options are less likely to occur.B: Multiple myeloma 