This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
[{'content': 'Histologic alteration seen in Sjogren syndrome is/are: \nSelect and explain. \nA. Intense lymphocytic infiltration of the gland replacing the acinar stuctures, but preserving the lobular., B. Proliferation of the ductal epithelium and myoepthelium., C. Atrophy of the glands sequential to the lymphocytic infiltration., D. All of the above.', 'role': 'user'}, {'content': 'Answer: D \nExplanation: None', 'role': 'assistant'}]