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Pathology General 8364f554

Which of the following is most reliable feature of malignant transformation of pheochromocytoma –

A
Presence of mitotic figures
B
Capsular invasion
C
Vascular invasion
D
Pleomorphism
High-Yield Explanation
The most definitive criteria for malignancy in pheochromocytoma is metastasis which is demonstrated by the presence of vascular invasion “Because benign and malignant pheochromocytomas may have an identical histological appearance, the only absolute criterion of malignancy is metastasis. “The diagnosis of malignant pheochromocytoma is made only when metastasis is demonstrated.”

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