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Anterior mediastinal nonseminomatous germ cell tumor

Szeto TS - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Anterior mediastinal nonseminomatous germ cell tumor

History: 19 yo white male who was previously healthy until he developed a chronic dry cough, DOE, and dyspnea x 2 months after returning from a trip from Cancun, Mexico. Pt was diagnosed with walking pneumonia after being seen at a civilian pediatric clinic. Pt's symptoms did not get any better and was eventually seen by his PMD. Pt had a 30 lb intentional weight loss since Nov 2005 (~ 8 months before symptoms, but a 10 lb unintentional wt loss since returning from Mexico.

Findings: CXR- PA/LAT- showed Large anterior mediastinal mass CT Chest- Confirmation of large anterior mediastinal mass with mixed attenuation. The mass exerts considerable mass effect on other mediastinal structures.

Ddx: Thymoma Terrible Lymphoma Thyroid carcinoma Germ Cell tumor (Teratoma, SGCT, NSGCT)

Dxhow: CXR-PA/LAT, Elevated AFP, HCG, LDH, Biopsy- pending

Exam: Pt had a insignificant physical exam. Pt's labs were significant for AFP-6188, B-HCG-110, LDH-3101.

No MeSH data available.


CXR-Lat view- demonstrates large anterior mediastinal mass. Retrosternal clear space is completely filled by a large soft tissue mass on the lateral view.
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MPX2278_synpic32997: CXR-Lat view- demonstrates large anterior mediastinal mass. Retrosternal clear space is completely filled by a large soft tissue mass on the lateral view.


Anterior mediastinal nonseminomatous germ cell tumor

Szeto TS - MedPix (2007)

CXR-Lat view- demonstrates large anterior mediastinal mass. Retrosternal clear space is completely filled by a large soft tissue mass on the lateral view.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2278&req=5

MPX2278_synpic32997: CXR-Lat view- demonstrates large anterior mediastinal mass. Retrosternal clear space is completely filled by a large soft tissue mass on the lateral view.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Anterior mediastinal nonseminomatous germ cell tumor

History: 19 yo white male who was previously healthy until he developed a chronic dry cough, DOE, and dyspnea x 2 months after returning from a trip from Cancun, Mexico. Pt was diagnosed with walking pneumonia after being seen at a civilian pediatric clinic. Pt's symptoms did not get any better and was eventually seen by his PMD. Pt had a 30 lb intentional weight loss since Nov 2005 (~ 8 months before symptoms, but a 10 lb unintentional wt loss since returning from Mexico.

Findings: CXR- PA/LAT- showed Large anterior mediastinal mass CT Chest- Confirmation of large anterior mediastinal mass with mixed attenuation. The mass exerts considerable mass effect on other mediastinal structures.

Ddx: Thymoma Terrible Lymphoma Thyroid carcinoma Germ Cell tumor (Teratoma, SGCT, NSGCT)

Dxhow: CXR-PA/LAT, Elevated AFP, HCG, LDH, Biopsy- pending

Exam: Pt had a insignificant physical exam. Pt's labs were significant for AFP-6188, B-HCG-110, LDH-3101.

No MeSH data available.