Review Question - QID 213644

A 45-year-old woman presents to her primary care physician for an annual check-up. Her past medical history is significant for hypertension and obesity; however, she says that she has been able to lose 10 pounds over the last year and that her blood pressure has been under good control. Her only other concern is that she has noticed a new lesion on her foot that she would like to have examined. She smokes 1 pack per day and uses tanning beds routinely throughout the year. On physical exam, the lesion demonstrated in Figure A is seen. Which of the following is associated with the disease subtype that is most likely seen in this patient?