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Giant Mediastinal Germ Cell Tumour: An Enigma of Surgical Consideration
Joint Authors
Hayati, Firdaus
Ali, Nurayub Mohd
Azizan, Nornazirah
Zakaria, Andee Dzulkarnaen
Rahman, Mohd Ramzisham Abdul
Belani, Levin Kesu
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-11
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We present a case of 16-year-old male, who was referred from private centre for dyspnoea, fatigue, and orthopnea.
The chest radiograph revealed complete opacification of left chest which was confirmed by computed tomography as a large left mediastinal mass measuring 14 × 15 × 18 cm.
The diagnostic needle core biopsy revealed mixed germ cell tumour with possible combination of embryonal carcinoma, yolk sac, and teratoma.
After 4 cycles of neoadjuvant BEP regime, there was initial response of tumour markers but not tumour bulk.
Instead of classic median sternotomy or clamshell incision, posterolateral approach with piecemeal manner was chosen.
Histology confirmed mixed germ cell tumour with residual teratomatous component without yolk sac or embryonal carcinoma component.
Weighing 3.5 kg, it is one of the largest mediastinal germ cell tumours ever reported.
We describe this rare and gigantic intrathoracic tumour and discuss the spectrum of surgical approach and treatment of this exceptional tumour.
American Psychological Association (APA)
Hayati, Firdaus& Ali, Nurayub Mohd& Belani, Levin Kesu& Azizan, Nornazirah& Zakaria, Andee Dzulkarnaen& Rahman, Mohd Ramzisham Abdul. 2016. Giant Mediastinal Germ Cell Tumour: An Enigma of Surgical Consideration. Case Reports in Surgery،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1102849
Modern Language Association (MLA)
Hayati, Firdaus…[et al.]. Giant Mediastinal Germ Cell Tumour: An Enigma of Surgical Consideration. Case Reports in Surgery No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1102849
American Medical Association (AMA)
Hayati, Firdaus& Ali, Nurayub Mohd& Belani, Levin Kesu& Azizan, Nornazirah& Zakaria, Andee Dzulkarnaen& Rahman, Mohd Ramzisham Abdul. Giant Mediastinal Germ Cell Tumour: An Enigma of Surgical Consideration. Case Reports in Surgery. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1102849
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1102849