Oncology

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Correct Answer - D Answer- D. 80% Solitary adenomas, A single abnormal gland, is the cause in -80% of patients; the abnormality in the gland is usually a benign neoplasm or adenoma and rarely a parathyroid carcinoma.

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The tumor is oropharygeal teratoma, which contains derivatives from all three germ layers. The tumor may include gut bone skin teeth These tumors arise from pluripotent stem cells that differentiate into any of three germ layers forming tissues of all three germ layers

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Correct Answer B Amongst the options provided, gastrinomas are the most common enteropancreatic tumors associated with MEN I with insulinomas being the second most common. Ref: Harison's Principles of Internal Medicine, 17th Edition, Page 2358 & 2359; 16th/ 2232; Davidson's principles and practice of Medicine, 20th Edition, Chapter 20, Page 803

Correct Answer-B Scans to differentiate adrenal adenoma from adrenal metastasis are: .CECT • Chemical shift MRI .FDG-PET PETscan has almost 100 % sensitivity for detecting adrenal metastasis. so a negative study excludes the possibility of adrenal mets. But adenomas can give false positive test. Ref: Fundamentals of Diagnostic Radiology, Edition - 4, Page - 427