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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.


Contrast enhanced thoracic CT shows a mildly heterogeneous lobular anterior mediastinal mass (?) with mass effect on the adjacent vasculature, no evidence of direct invasion of nearby structures, and little enhancement.  Also labeled: pectoralis muscle (Pectoral), ascending (Asc) and descending (Dsc) thoracic aorta, superior vena cava (SVC(
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MPX1727_synpic34182: Contrast enhanced thoracic CT shows a mildly heterogeneous lobular anterior mediastinal mass (?) with mass effect on the adjacent vasculature, no evidence of direct invasion of nearby structures, and little enhancement. Also labeled: pectoralis muscle (Pectoral), ascending (Asc) and descending (Dsc) thoracic aorta, superior vena cava (SVC(


Malignant Germ Cell Tumor (mixed)

McKee JMM - MedPix (2007)

Contrast enhanced thoracic CT shows a mildly heterogeneous lobular anterior mediastinal mass (?) with mass effect on the adjacent vasculature, no evidence of direct invasion of nearby structures, and little enhancement.  Also labeled: pectoralis muscle (Pectoral), ascending (Asc) and descending (Dsc) thoracic aorta, superior vena cava (SVC(
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1727_synpic34182: Contrast enhanced thoracic CT shows a mildly heterogeneous lobular anterior mediastinal mass (?) with mass effect on the adjacent vasculature, no evidence of direct invasion of nearby structures, and little enhancement. Also labeled: pectoralis muscle (Pectoral), ascending (Asc) and descending (Dsc) thoracic aorta, superior vena cava (SVC(

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.