This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Head and neck, Subject name: Surgery
In Neuroblastomas the most common presentation is - 
Select and explain. 
A. Lytic lesion in skull with suture diastasis, B. Lung metastasis, C. Renal invasion, D. Secondaries in brain
A: Lytic lesion in skull with suture diastasis
Answer: A: Lytic lesion in skull with suture diastasis 
Explanation: Although the most common presentation of neuroblastoma is an and. mass, option 'a' is most common among the given options. Sutton writes - "Neuroblastoma frequently metastasizes to the skull. Lesions may involve the suture margins, paicularly the coronal suture, which becomes widened (diastasis) and irregular". Ref : Bailey & Love 25/e p815