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4360 Pathology

A 24-year-old woman presents with an earache of 4 days in duration. She also reports increased urine production, a skin rash, and bone pain on her scalp. Physical examination reveals otitis media, dermatitis, and exophthalmos. An X-ray of the scalp shows calvarial bone defects. A fine-needle aspirate displays numerous eosinophils. Which of the following is the most likely diagnosis?

AHodgkin lymphoma
BLangerhans cell histiocytosis
CMalignant melanoma
DMetastatic breast carcinoma
Pathology
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