<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 56-year-old woman comes to the physician because of a 3-month history of progressive weakness. She has no history of serious illness and takes no medications. Her vital signs are within normal limits. Physical examination shows a violaceous rash over her eyelids and flat-topped erythematous papules over the dorsal surface of interphalangeal joints. Muscle strength is 45 at the shoulders and hips but normal elsewhere. This patient is at greatest risk for which of the following conditions?? A: Pheochromocytoma, B: Hodgkin lymphoma, C: Renal clear cell carcinoma, D: Oat cell lung cancer, E: Ovarian adenocarcinoma,  <response>: This is a clinical vignette describing a 56-year-old woman with progressive weakness over 3 months. She has a violaceous rash over the eyelids and flat-topped erythematous papules over the interphalangeal joints. She has proximal muscle weakness. The rash and joint findings suggest dermatomyositis, an inflammatory myopathy. The proximal muscle weakness is also consistent with this diagnosis. Dermatomyositis is associated with an increased risk of malignancy. Therefore, the patient is at greatest risk for an underlying cancer.E: Ovarian adenocarcinoma 