Mediastinal germ cell tumor
Chest pain, dyspnea, weight loss
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
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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.
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.