A 34-year-old Caucasian female presents for evaluation of several skin-colored papules on the cheeks. She notes her mother and sister have similar findings. A biopsy is done and pathology results are shown below. Which of the following is true about this disorder?

A. It is inherited in an X-linked recessive fashion.

B. These patients should be referred to nephrology and pulmonology.

C. Spiradenomas and cylindromas may also be found in this patient.

D. It is due to a mutation in the PTEN gene.

E. Mohs micrographic surgery is indicated for treatment of these tumors.

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