This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pathology
Hutchinson's secondaries in skull are due to tumors in which of the following organs? 
Select and explain. 
A. Lungs, B. Breast, C. Liver, D. Adrenals
D: Adrenals
Answer: D: Adrenals 
Explanation: Hutchison's secondaries in the skull and orbit arise from left sided adrenal neuroblastoma. Secondaries in the skull mimics spicular osteogenic sarcoma. It is common in late childhood. Pepper type is right sided adrenal neuroblastoma with liver secondaries. It common in infants.Neuroblastoma is the commonest childhood tumorIts a tumor of adrenal medullaIt is an aggressive malignant tumor in childhood usually below the age of 5 yearsIt can occur anywhere in the sympathetic chain but common in adrenal glands.Ref: Srb's Manual of Surgery By Sriram Bhat page 449