This adrenal tumor with metastases in the para-aortic lymph nodes was found at an autopsy of a child
Urine contained increased amounts of
A. cortisol
B. androstenedione
C. estrogen
D. vanillylmandelic acid (VMA)
E. adrenaline
D
This tumor is a neuroblastoma originating from the adrenal medulla. It secretes catecholamines, like dopamine, which are degraded to VMA and homovanillic acid (HVA), excreted in urine. Steroids are not produced by neuroblastomas. Adrenaline may be produced and may be found in blood but it is degraded and excreted and VMA and HVA.
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