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Pediatrics General 563b0214

A boy is brought with complaints of abdominal pain since few days. There was an palpable mass in his abdomen. Which is the most common gastrointestinal malignancy of childhood?

A
Adenocarcinoma
B
Lymphoma
C
Carcinoid
D
Sarcoma
High-Yield Explanation
Lymphoma is the most common malignant neoplasm of the gastrointestinal tract in childhood. Most lymphomas are the non-Hodgkin subtype, paicularly Burkitt lymphoma. Clinical findings include a palpable mass and abdominal pain. The sonographic findings are gastric wall thickening and a bulky polypoid mass with intramural and extramural extension. Additional findings are splenomegaly and mesenteric or retroperitoneal lymph node enlargement. Ref: Pediatric Sonography By Marilyn J. Siegel, 2010, Page 348 ; Pediatric Pathology, 2e By J. Thomas Stocker, Louis P. Dehner, Volume 2, 2001, Page 682 ; Atlas of pediatric gastrointestinal disease: Pa 1 - Page 87

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