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Mediastinal germ cell tumor

Case contributed by Dr Roberto Schubert


Chest pain, dyspnea, weight loss

Patient Data

Age: 20 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.



A heterogeneous mass is filling most of the left thoracic cavum and displacing the mediastinum to the right. It contains a single focal calcification and a few spots of fat densities. It invades the pericardium, the thoracic wall and the diaphragm. 

Case Discussion

CT-guided biopsy was performed.

Histopathology report: Non-seminomatous mixed germ cell tumor composed of mature and immature teratoma, AFP-positive yolk sac tumor, and embryonal carcinoma. Growth fraction > 50%.

The patient received neoadjuvant chemotherapy before surgical resection.

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Case information

rID: 14131
Published: 2nd Jul 2011
Last edited: 16th Oct 2020
System: Chest
Inclusion in quiz mode: Included

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