MC tumour in posterior mediastinum is: March 2013
**Core Concept**
The posterior mediastinum is a region of the mediastinum that contains the esophagus, the thoracic aorta, the thoracic duct, and the sympathetic trunks. This region is prone to the development of neurogenic tumors, which arise from the nerve cells or supporting tissues of the sympathetic nervous system.
**Why the Correct Answer is Right**
The most common malignant tumor in the posterior mediastinum is the neuroblastoma, a type of cancer that arises from the neuroblasts, which are immature nerve cells. Neuroblastomas are typically found in children and are often associated with the paraspinal sympathetic chain. These tumors can metastasize to the lymph nodes, bones, liver, and other organs. The diagnosis is often made based on imaging studies, such as CT scans or MRI, which show a mass in the posterior mediastinum.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because neurofibromas are benign tumors that arise from the nerve sheaths, whereas the correct answer is a malignant tumor.
**Option B:** This option is incorrect because thymomas are tumors of the thymus gland, which is located in the anterior mediastinum, not the posterior mediastinum.
**Option C:** This option is incorrect because lymphomas can occur in any part of the mediastinum, but they are not as specific to the posterior mediastinum as neuroblastomas.
**Clinical Pearl / High-Yield Fact**
The "rule of twos" is a useful clinical correlation to remember when considering neuroblastoma: the tumor typically arises in children under the age of two, and it often presents with symptoms such as abdominal pain, weight loss, and a palpable abdominal mass.
**Correct Answer: C. Neuroblastoma**