Most common presentation of neuroblastoma is ?
Ans. is 'a' i.e., Lytic lesions in skull, with sutural diastasis Most frequent site of metastasis from nueroblastoma is bone : where metastasis occurs very early. Lytic lesions in skull and sutural diastasis are manifestations of bony metastasis to skull, and hence the earliest feature, amongst the options in the questions.
Lytic lesion in skull with suture diasthesis
Lung metastasis
Renal invasion
Secondaries in brain