Surgery MCQ Answer 06

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Answer: d, e
Annals of the New York Academy of Sciences, VIP, PACAP, and Related Peptides: From Gene to Therapy (Volume 1070)The posterior mediastinal location of the tumor is most indicative of a neurogenic tumor while teratomas are characteristically found in the anterior mediastinum. Neurogenic tumors can undergo malignant degeneration and should be resected, particularly in this symptomatic patient even if known to be present for years. The radicular pain suggests the possibility of intraspinous extension of the tumor, and therefore a neurosurgical consultation is appropriate. Both urinary vanillylmandelic acid elevation and vasoactive intestinal polypeptide can be produced by ganglioneuroma but would not be characteristic of a paraganglioma.

Category: Surgery MCQs

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