<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 62-year-old man seeks evaluation at an outpatient clinic for a single, red, crusty lesion on the shaft of his penis and a similar lesion on the middle finger of his left hand. He recently immigrated to the US from Africa. The lesions are painless and the physicians in his country treated him for syphilis and eczema, with no improvement. He lives with his 4th wife. He smokes 2 packs of cigarette per day and has been doing so for the last 30 years. He is not aware of any family members with malignancies or hereditary diseases. The physical examination is remarkable for an erythematous plaque, with areas of crusting, oozing, and irregular borders on the dorsal surface of the penile shaft and a similar lesion on his left middle finger shown in the picture. The regional lymph nodes are not affected. A biopsy is obtained and the pathologic evaluation reveals cells with nuclear hyperchromasia, multinucleation, and increased mitotic figures within the follicle-bearing epithelium. What is the most likely diagnosis?? A: Condyloma acuminata, B: Bowenoid papulosis, C: Lichen sclerosus, D: Bowens disease, E: Erythroplasia of Queyrat,  <response>: This is a patient with skin lesions on the penis and finger. Key findings include:- 62 year old man - Immigrated from Africa- Red, crusty lesions on penis and finger- Lesions are painless- Previously treated for syphilis and eczema without improvement- Smokes 2 packs per day for 30 years - Biopsy shows nuclear hyperchromasia, multinucleation, and increased mitotic figuresBased on the biopsy results showing nuclear changes and mitotic figures, this suggests a malignant or pre-malignant condition. The location on the penis and finger point towards squamous cell carcinoma in situ or carcinoma. Of the choices, Bowens disease squamous cell carcinoma in situ and Erythroplasia of Queyrat squamous cell carcinoma in situ of the penis fit the clinical and pathological findings. Bowens disease can occur on the penis or finger. Erythroplasia of Queyrat is specific to the penis.D: Bowens disease 