1 MCQs in Pathology for NEET PG
An 18-month-old boy presents with a 6-week history of fever, pallor, irritability, and bone pain. On examination, he has periorbital ecchymoses ("raccoon eyes"), proptosis, and subcutaneous blueberry-muffin nodules. Abdominal examination reveals a large firm irregular mass crossing the midline. Contrast-enhanced CT shows a large heterogeneous right suprarenal mass with internal calcifications, displacing the right kidney inferiorly and encasing the celiac axis. After neoadjuvant chemotherapy and delayed primary resection, gross pathology reveals the structure marked **B** in the diagram. Which of the following gross pathological features best distinguishes this tumor from Wilms tumor?
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