You are answering a USMLE-style medical question. Question: A 51-year-old woman presents to her primary care physician complaining of months of dry mouth and dry eyes. She says the dryness has become so severe that she has difficulty swallowing food. She has a history of hypertension, for which she takes hydrochlorothiazide (HCTZ), but she has no other medical problems. Family history is significant for her grandmother having systemic lupus erythematosus. The vital signs include: blood pressure 118/76 mm Hg, heart rate 78/min, and respiratory rate 15/min. On physical exam, she has tender parotid glands bilaterally and dries mucous membranes. The presence of serum anti-Ro and anti-La autoantibodies is confirmed at high titers. In addition to her primary diagnosis, which of the following is this patient most at risk for developing in the future? Options: A) Gastric carcinoma B) Non-Hodgkin lymphoma C) Invasive ductal carcinoma of the breast D) Adenocarcinoma of the lung Reply with ONLY the letter of the correct answer (A, B, C, or D). No explanation.