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Malignant Germ Cell Tumor (mixed)

McKee JMM - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center Portsmouth

ABSTRACT

Diagnosis: Malignant Germ Cell Tumor (mixed)

History: 38 year old previously healthy man presented to the ER with new onset of dyspnea and chest pain.

Findings: Chest X-ray shows a large anterior mediastinal mass. Contrast enhanced thoracic CT shows a mildly heterogeneous (central low density) lobular anterior mediastinal mass with mild mass effect on the subjacent vasculature, no evidence of direct invasion of nearby structures, and little enhancement.

Ddx: • Lymphoma • Thymoma • Germ cell neoplasm • Thymic carcinoid/carcinoma • Metastasis from unknown primary (Renal, testicular, head and neck, melanoma)

Dxhow: Biopsy histology including isochrome 12p staining.

Exam: B-HCG and alphafetoprotein are within normal limits

No MeSH data available.


Chest x-ray shows a large lobulated anterior mediastinal mass (asterisks).  Because the mass does not obscure the shadow of the aortic know and descending aorta (arrowheads) this mass is probably anterior.  You should check the lateral film to confirm.
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MPX1727_synpic34180: Chest x-ray shows a large lobulated anterior mediastinal mass (asterisks). Because the mass does not obscure the shadow of the aortic know and descending aorta (arrowheads) this mass is probably anterior. You should check the lateral film to confirm.


Malignant Germ Cell Tumor (mixed)

McKee JMM - MedPix (2007)

Chest x-ray shows a large lobulated anterior mediastinal mass (asterisks).  Because the mass does not obscure the shadow of the aortic know and descending aorta (arrowheads) this mass is probably anterior.  You should check the lateral film to confirm.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1727&req=5

MPX1727_synpic34180: Chest x-ray shows a large lobulated anterior mediastinal mass (asterisks). Because the mass does not obscure the shadow of the aortic know and descending aorta (arrowheads) this mass is probably anterior. You should check the lateral film to confirm.

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center Portsmouth

ABSTRACT

Diagnosis: Malignant Germ Cell Tumor (mixed)

History: 38 year old previously healthy man presented to the ER with new onset of dyspnea and chest pain.

Findings: Chest X-ray shows a large anterior mediastinal mass. Contrast enhanced thoracic CT shows a mildly heterogeneous (central low density) lobular anterior mediastinal mass with mild mass effect on the subjacent vasculature, no evidence of direct invasion of nearby structures, and little enhancement.

Ddx: • Lymphoma • Thymoma • Germ cell neoplasm • Thymic carcinoid/carcinoma • Metastasis from unknown primary (Renal, testicular, head and neck, melanoma)

Dxhow: Biopsy histology including isochrome 12p staining.

Exam: B-HCG and alphafetoprotein are within normal limits

No MeSH data available.