Mediastinal germ cell tumour

Case contributed by Dr Roberto Schubert

Presentation

Chest pain, dyspnoea, weight loss

Patient Data

Age: 20
Gender: Male
Modality: X-ray
Modality: CT

Case Discussion

Heterogeneous mass filling most of the left thoracic cavum and displacing the mediastinum to the right. The tumour contained a single focal calcification and a few spots of fat densities. It invaded the pericardium, the thoracic wall and the diaphragm. CT-guided biopsy was performed.

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

The patient received neoadjuvant chemotherapy before surgical resection.

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Case Information

rID: 14131
Case created: 2nd Jul 2011
Last edited: 12th Oct 2015
System: Chest
Inclusion in quiz mode: Included

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