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
What is the most likely underlying diagnosis? 
Select and explain. 
A. Cirrhosis, B. Chronic renal failure, C. Hypothyroidism, D. Myeloma
A: Cirrhosis
Answer: A: Cirrhosis 
Explanation: 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.