Review Question - QID 213772

A 72-year-old man presents to his primary care physician with a 2-month history of persistent cough. He says that the cough is productive of bloody sputum and that he feels increasingly short of breath while performing normal daily activities. He has also lost about 20 pounds since the last visit despite not changing his diet or activities. He has a 30 pack-year history of smoking and worked in a shipyard during his career. Chest radiography reveals a central mass so a biopsy is obtained with the results shown in Figure A. Which of the following is associated with this patient's most likely diagnosis?