input: The following are multiple choice questions (with answers) about medical knowledge.   **Question:** Which of the following malignancy is least commonly associated with lymphatic spread ?   (A) Basal Cell Carcinoma   (B) Squamous cell Carcinoma   (C) Malignant melanoma   (D) Merkel cell Carcinoma
output: ['(A) Basal Cell Carcinoma <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Basal Cell Carcinoma  (B) Squamous cell Carcinoma  (C) Malignant melanoma  (D) Merkel cell Carcinoma <> possible answers', '  Which of the following malignancy is least commonly associated with lymphatic spread ? <> context']