Read the Dermatology Clinic Note Below

Read the dermatology clinic note below. A skin Bx performed in my office confirmed the diagnosis of AK. After explaining the results to Mr. Johnson, I recommended cryotherapy for the smaller lesions on his arms and dermabrasion for his scalp lesions. I explained to Mr. Johnson that AK can lead to squamous cell carcinoma and taught him about the risks of sun exposure, including further AKs and melanoma.
According to the clinic note, which is NOT true?

A) A skin biopsy confirmed the patient has a horny skin condition caused by sun exposure.
B) AK can lead to a cancerous tumor of squamous skin cells.
C) AK can lead to tumors of the melanin cells.
D) The history of the patient's skin condition confirmed the doctor thinks the patient has skin cancer.
E) The physician recommended that the lesions on the patient's scalp be removed by rubbing or scraping away the outer surface of the skin.