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Pediatrics Childhood tumors e456efef

Which statement (s) is/are true about Neuroblastoma with respect to wilms tumor

A
Neuroblastoma causes displacement of kidney inferolaterally without distoion of collecting system
B
Stippled calcification is present in wilm's tumor
C
Aoic and IVC invasion by neuroblastoma
D
Neuroblastoma crossing mid line
High-Yield Explanation
Both occur in early childhood and typically present as large abdominal masses closely related to the kidneys. Distinguishing between the two is impoant, and a number of features are helpful. Neuroblastoma calcification very common: 90% encases vascular structures but does not invade them younger age group (<2 years of age) poorly marginated elevates the aoa away from the veebral column more commonly crosses the midline, especially behind the aoa 2 more common to have extension into the chest bony metastasis are common (Hutchinson syndrome) extension into spinal canal can be seen. retroperitoneal lymph nodes are more often seen. Wilms tumor calcification uncommon: 10-15% (10% rule of Wilm&;s tumor) displaces adjacent structures without insinuating between them slightly older age group: peak 3-4 years of age well circumscribed <a href=" sign</a> with the kidney extension into IVC/renal vein. bony metastasis are rare, rather lung metastasis are common. extension into spinal canal never seen. retroperitoneal lymphadenopathy is uncommon. Reference: GHAI Essential pediatrics, 8th edition

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