<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 60-year-old man presents to your office because he noticed a weird patch on the floor of his mouth. He states that he noticed it a few months ago, but did not report it because it did not hurt. However, he is concerned because it has not regressed and seems to have changed in shape. On examination, you notice the patient has poor dentition and he admits to using chewing tobacco daily. The patch on the floor of his mouth is red with irregular borders. Which of the following would be an appropriate way to counsel this patient on his current condition?? A: This lesion is due to an infection., B: This lesion is closely associated with chronic Hepatitis C infection., C: This lesion necessitates biopsy., D: This lesion carries no increased risk of cancer., E: Tobacco use is not a risk factor.,  <response>: Based on the information provided in the question stem, this patient is a 60-year-old man who uses chewing tobacco daily and has noticed a persistent red patch with irregular borders on the floor of his mouth. The description of the lesion is concerning for oral cancer, especially given his history of tobacco use, which is a major risk factor. Biopsy would be needed to confirm cancer. Counseling him to stop tobacco use would be important to prevent cancer progression. Hepatitis C is not associated with oral cancer. The lesion does not appear to be infectious. And it certainly carries an increased cancer risk.C: This lesion necessitates biopsy. 