This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology, Subject name: Medicine
[{'content': 'What is the most likely underlying diagnosis? \nSelect and explain. \nA. Cirrhosis, B. Chronic renal failure, C. Hypothyroidism, D. Myeloma', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Answer A. CirrhosisThis lesion has the characteristic appearance of a spider angioma. Spider angiomas are suggestive of liver disease; this patient was diagnosed with cirrhosis.', 'role': 'assistant'}]