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USMLE · Question #608

A 3-year-old male is brought to the physician due to an enlarging abdominal mass. Physical examination reveals a mass in the left abdomen that does not cross the midline. Ophthalmic examination is unr

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Abnormal Processes

Question

A 3-year-old male is brought to the physician due to an enlarging abdominal mass. Physical examination reveals a mass in the left abdomen that does not cross the midline. Ophthalmic examination is unremarkable. Microscopic examination of a biopsy specimen from the abdomen reveals dense immature islands of epithelial cells, ribbons of spindle fibroblastic stromal cells and poorly formed tubular structures. The most likely diagnosis:

Options

  • Aembryonal rhabdomyosarcoma
  • BEwing sarcoma
  • CHodgkin disease
  • Dneuroblastoma
  • EWilms tumor

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Topics

#Wilms tumor#nephroblastoma#pediatric oncology#triphasic histology
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