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
Multiple papillomatous lesions are seen in: 
Select and explain. 
A. Greenspan lesion, B. Cowden’s syndrome, C. Gardner syndrome, D. Diabetes mellitus
B: Cowden’s syndrome
Answer: B: Cowden’s syndrome 
Explanation: HPV types 6 and 11 are commonly associated with squamous papillomas. Multiple papillomatous lesions are seen in Cowden's syndrome. It is considered as cutaneous marker of breast cancer.