3-year-old Boy in Pediatrics — 3yo Child | Pediatric Heme/Onc | SMLE Q#17381

SMLE Question #17381

Pediatrics Pediatric Heme/Onc

Objective: OBJ-153

Last updated: February 2026
A 3-year-old boy has 2 months of poor appetite, progressive abdominal distension, and weight loss. He is increasingly reluctant to walk and has intermittent leg pain. Examination shows pallor and irritability. Abdominal examination reveals a firm, irregular, non-tender upper abdominal mass that crosses the midline and is difficult to separate from surrounding structures. MRI shows a large heterogeneous retroperitoneal mass encasing adjacent vessels. What is the most likely diagnosis?

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