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A 24-Year-Old Woman Arrives at the Office with a Fresh

Question 88

Multiple Choice

A 24-year-old woman arrives at the office with a fresh mole on her right leg. She is concerned that it is skin cancer because she has used tanning beds many times a year since she was 18. Physical examination reveals a 5-mm dark, round macule with homogenous hue and distinct boundaries on her front thigh. The lesion is deeper in color than the other moles. She is diagnosed with a benign acquired melanocytic nevus after a biopsy of the lesion reveals normal-appearing nevus cells grouped in the epidermis. During histologic examination, her epithelial cells are discovered to have a condensed body composed of extensively methylated DNA near the nucleus's periphery. This region of DNA is most likely associated with which of the following genetic findings?


A) DNA supercoil accumulation
B) Extensive double-strand DNA break repair
C) Histone acetylation
D) Impaired mismatch repair
E) Low transcription activity

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