HY USMLE Q #844 – Pathology

A 38-year-old woman comes to the physician for a follow-up appointment following diagnosis of a malignancy. A biopsy specimen is shown. Which of the following is most likely to be seen in this patient?

  Decreased serum parathyroid hormone
  Elevated serum calcitonin
  Mutation in ret proto-oncogene
  Normal serum thyroid-stimulating hormone
  Signet ring cells