Which statement(s) is/are true about neuroblastoma with respect to wilms tumor –
Correct Answer: All of these
Description: Wilm's Tumor
Neuroblastoma
Age
Preschool
Preschool
Clinical features
Unilateral flank mass(asymptomatic abdominal mass),abdominal pain,hematuria, hypertension, fever, anorexia, vomiting
Abdominal mass,GI or genitourinary obstruction, proptosis, fever, bone pain, spinal cord compression, diarrhea, flushing, opsoclonus, myoclonus, headache
Calcification
Less commom (15%)
More than (85%) & punctate
Midline
Not crossed (confined to one side)
Crossed
Aortic / IVC invasion
Absent
Present
Spinal extension
Absent
Present
Distortion of calyces
Very common (90%)
Not seen
Hydronephrosis
More common (40%)
Less common(26%)
Hydronephrosis
No (always intrarenal)
Neuroblastoma may occur at extrarenal sites.
Retroperitoneal lymphadenopathy
Less common (13%)
More coomon(73%)
Retrocrural lymphadenopathy
No(0%)
Present(30%)
Liver metastasis
No(0%)
Present(18%)
Category:
Pediatrics
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