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Pathology Endocrinology 17d98b2b

Which of the following is most reliable feature of malignat transformation of pheochromocytoma?

A
Presence of mitotic figures
B
Capsular invasion
C
Vascular invasion
D
None
High-Yield Explanation
Determination of malignancy in pheochromocytoma is difficult. Benign pheochromocytomas show mitotic figures and vascular and capsular invasion. So none of the above said features will help to determine malignancy. Therefore,the definitive diagnosis of malignancy in pheochromocytoma is based exclusively on the presence of metastases. Ref: Robbins and cotrans 9e

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