2,616 results match your criteria: "Mediastinum Germ Cell Tumors"

Rationale: Pheochromocytomas typically arise in the adrenal medulla, whereas ectopic pheochromocytomas/paragangliomas commonly occur near the abdominal aorta, bladder, mediastinum, and head. Diaphragmatic pheochromocytomas are exceedingly rare, and there is limited surgical experience with their treatment.

Patient Concerns: In Case A, the subject is a 45-year-old male, while in Case B, the subject is a 59-year-old female.

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[Anterior Mediastinal Dermoid Cyst with Enlarging Tendency:Report of a Case].

Kyobu Geka

November 2024

Department of General Thoracic, Breast and Endocrinological Surgery, Kagawa University, Kagawa, Japan.

A 36-year-old woman referred to our hospital for treatment of a mediastinal tumor. Contrast computed tomography (CT) scan was revealed a 31×21×25 mm mass in the anterior mediastinum, with low contrast, clear border, and a tendency to increase. On magnetic resonance imaging( MRI) examination, the anterior mediastinal tumor showed homogeneous high signal intensity on T1-weighted images and a combination of high and low signal intensities on T2-weighted images.

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Article Synopsis
  • Extrarenal teratoid Wilms' tumor (TWT) is a rare type of cancer with complex histology, making diagnosis challenging; the case discussed involves an 8-year-old girl with a mediastinal mass containing nephroblastomatous elements.
  • Surgical resection revealed a mature cystic teratoma mixed with nephroblastoma, and immunohistochemical tests confirmed the diagnosis, leading to a smooth recovery for the patient.
  • This case emphasizes the importance of detailed histopathological analysis in distinguishing TWT from other tumors, underlining the necessity for long-term monitoring due to potential recurrence.
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Optimal Treatment Strategies for Early-Stage Primary Mediastinal Germ Cell Tumors.

Ann Thorac Surg

November 2024

Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA. Electronic address:

Article Synopsis
  • The study examines survival outcomes for patients with early-stage primary mediastinal germ cell tumors, comparing surgery and chemotherapy treatment options.
  • Among seminomas, no significant survival difference was found between patients receiving chemotherapy alone and those undergoing surgery; however, for non-seminomatous tumors, surgery showed improved 5-year survival rates.
  • The findings suggest that for non-seminomatous germ cell tumors, a combination of surgery and other treatments leads to better survival compared to chemotherapy alone, while seminomas can achieve similar outcomes with chemotherapy alone.
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Article Synopsis
  • A 19-year-old male presented with symptoms like chest pain and difficulty swallowing, leading to the diagnosis of a mature cystic teratoma in the anterior mediastinum.
  • After surgical removal, the patient experienced some postoperative complications but fully recovered and was symptom-free after one month, highlighting the importance of thorough diagnostics and successful surgery.
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Article Synopsis
  • Ganglioneuroma (GN) is the least aggressive and most mature type of neuroblastic tumors, typically found in the chest, abdomen, and adrenal glands.
  • It primarily affects children under 10 years old, but metastasis to lymph nodes or other organs can occur very rarely.
  • The case discussed involves a 4-year-old child with a primary adrenal ganglioneuroma that had metastasized to lymph nodes, but without any immature neuroblastoma cells present.
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Article Synopsis
  • Teratomas are tumors formed from embryonic tissues that contain cells from all three germ layers; they are very rare in the heart, specifically noted in a case involving a newborn's right atrium.
  • A 20-hour-old infant presented with a heart murmur, and an echocardiogram revealed a mass that was successfully surgically removed and identified as a teratoma, with the child recovering well post-operation.
  • The discussion highlights that while mature teratomas are uncommon in the mediastinum, they can cause significant health issues if not diagnosed and treated promptly, emphasizing the need for careful evaluation in infants with cardiac symptoms.
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Article Synopsis
  • Primary mediastinal germ cell tumor (PMGCT), particularly choriocarcinoma, has a poor prognosis and is treated with BEP therapy, which can lead to complications like acute respiratory distress syndrome (ARDS).
  • A 38-year-old woman diagnosed with advanced primary mediastinal choriocarcinoma underwent BEP therapy, resulting in a significant reduction of hCG levels.
  • To minimize the risk of ARDS, she switched to VIP therapy and successfully underwent surgical resection, remaining disease-free for 16 months post-surgery.
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Article Synopsis
  • A 41-year-old man discovered a 5.1 cm cystic tumor and a 2.0 cm nodule in his chest via CT scan, leading to concerns of a malignant teratoma and lymph node spread.
  • He underwent surgery where the tumor and affected tissues were fully removed, revealing a mature cystic teratoma and a small thymoma.
  • Post-surgery, he had an uncomplicated recovery and showed no signs of recurrence after 30 months, highlighting the rare occurrence of both a teratoma and a thymoma.
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Article Synopsis
  • Large mediastinum tumors can be challenging to remove due to their size and location near vital organs, making surgical techniques critical for success.
  • A case study of a 58-year-old woman illustrates the removal of a large neurilemmoma using a combined supraclavicular and median sternotomy approach, allowing for complete resection without severe complications.
  • The findings suggest that this surgical method could be a viable option for dealing with large tumors that invade the thoracic outlet.
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Germ cell tumors (GCTs) are categorized as gonadal or extra-gonadal, based on the origin. Extra-gonadal GCTs predominantly manifest within the central nervous system (CNS), mediastinum, retroperitoneum, and sacrococcygeal region. These malignancies are most frequently diagnosed in the pediatric, adolescent, and young adult demographics.

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Pediatric mediastinal lymphatic malformation: misdiagnosis analysis and literature review.

BMC Pediatr

September 2024

Shantou University Medical College, Shantou University, 22 Xinling Road, Jinping District, Shantou, 515041, China.

Objectives: Mediastinal cystic lymphatic malformation (MCLM) in children is prone to misdiagnosis as cystic teratoma. We compared the clinical and radiologic features between the two diseases and performed a cross-comparison with previous research on adult cases. This study aims to identify characteristic pediatric manifestations to improve diagnostic accuracy.

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Metastatic Medullary Thyroid Carcinoma Presenting as an Incidental Posterior Mediastinal Mass.

Cytopathology

January 2025

Rutgers Robert Wood Johnson, New Brunswick, New Jersey, USA.

Medullary thyroid carcinoma (MTC) is an uncommon neuroendocrine tumour that is usually asymptomatic at its onset and therefore may not present clinically until the patient has developed advanced or metastatic disease. Common metastatic sites include cervical lymph nodes, liver, bone and lung. This is the case of a patient who presented with an incidental posterior mediastinal mass.

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Maediastinal germ cell tumors: analysis using hospital-based cancer registry data in Japan.

Int J Clin Oncol

November 2024

Department of Urology, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.

Objectives: Mediastinal germ cell tumors are rare and few large-scale studies on mediastinal germ cell tumors are reported. We aimed to investigate the clinical characteristics and survival outcomes of patients with mediastinum germ cell tumors in Japan.

Methods: A hospital-based cancer registry data in Japan was used to identify and enroll patients diagnosed with mediastinal germ cell tumors in 2012-2013.

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Article Synopsis
  • * A case of a 10-year-old girl with chest pain led to the discovery of a large anterior mediastinal mass, which was successfully removed through surgery.
  • * These teratomas present diagnostic challenges due to vague symptoms and diverse imaging features, emphasizing the need for early detection and careful monitoring post-surgery.
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Successful mediastinal teratoma resection in a child by assisted VATS: a case report.

J Cardiothorac Surg

September 2024

Department of Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Article Synopsis
  • Video-assisted thoracic surgery (VATS) is a minimally invasive technique used for removing thoracic lesions in children, including mediastinal tumors, under specific conditions.
  • A case involving a 9-year-old girl with a mediastinal teratoma adhered to the superior vena cava was successfully treated using assisted VATS, which involved a small incision and video guidance.
  • The patient had a smooth recovery, with no recurrence of the tumor after one year, indicating that the combination of this surgical method and incision approach could be beneficial for similar pediatric cases.
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Imaging of thymic epithelial tumors-a clinical practice review.

Mediastinum

June 2024

Department of Diagnostic Imaging and Nuclear Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

This review article comprehensively examines the diagnostic approach to thymic epithelial tumors (TETs) and other mediastinal masses, focusing on imaging modalities and differential diagnosis. Beginning with a discussion on traditional and contemporary classification systems for mediastinal tumors, including the Japanese Association for Research on the Thymus (JART) and International Thymic Interest Group (ITMIG) classifications, it highlights the shift towards computed tomography (CT)-based categorizations. Emphasis is placed on the importance of distinguishing between solid and cystic lesions in the anterior mediastinum, with detailed insights into imaging characteristics and histological features of various TET subtypes such as thymomas, thymic carcinomas, and thymic neuroendocrine tumors (NETs).

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Article Synopsis
  • * A physical examination revealed a firm, adhered testicle measuring 16 cm x 8 cm, and an ultrasound showed heterogeneous texture without visible mediastinum, leading to a bilateral orchiectomy.
  • * Post-surgery, a firm tumor mass replaced the seminiferous tubules, characterized by multilobulated and invasive features, with positive immunolabelling for OCT4 and C-KIT during immunohistochemical examination, confirming the diagnosis.
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We describe a rare and remarkable transformation of an immature mediastinal teratoma into high-grade angiosarcoma in a 21-year-old male. Mediastinal teratomas, particularly immature ones, are exceedingly rare, representing a small fraction of germ cell tumors (GCTs). Our case describes the clinical journey of the patient, who initially presented with acute chest pain and was subsequently diagnosed with an immature teratoma following imaging studies and elevated tumor markers.

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Background: Ganglioneuromatosis is a rare type of benign neurogenic tumor that usually affects the sites of the major sympathetic ganglia in the retroperitoneum and the posterior mediastinum. Affection of the gastrointestinal tract is rare, and involvement of the esophagus is exceptional. To the best of our knowledge, only 4 cases of esophageal ganglioneuromatosis in adults were reported in the literature.

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Combined type A thymoma and yolk sac tumour of the mediastinum.

Pathology

October 2024

Department of Pathology, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. Electronic address:

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Introduction: Primary extragonadal germ cell tumors (EGCTs) are a very rare clinical encounter most commonly reported in males. Among females, the placenta, pelvis, uterus, brain, and mediastinum are the most common extragonadal sites and predominantly display nondysgerminoma histology. In this report, we present a case of a primary cervical dysgerminoma in a young female patient.

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Article Synopsis
  • Testicular germ cell tumors (GCT) are split into three types based on how they develop and their characteristics: Type I (prepubertal), Type II, and Type III.
  • Type I usually happens in kids and teens, while Type II comes from non-invasive germ cells and has a specific change on chromosome 12, and Type III happens in older men with changes on chromosome 9.
  • Each type has different types of tumors and requires different treatments, with Type II being more complicated and worse to treat compared to the others.
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Background And Objective: Giant anterior mediastinal tumors sometimes may cause circulatory collapse and respiratory failure, known as mediastinal mass syndrome (MMS). The prediction and prevention of MMS is challenging. The aim of this study is to summarize the evaluation methods for MMS and formulate treatment strategies for giant anterior mediastinal tumors.

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Key Clinical Message: The key takeaway from this clinical scenario is to choose the most appropriate and reasonable treatment plan when dealing with a patient who has atrial septal defect (ASD) and concurrent atrial and mediastinal masses. In such cases, a heart-oncology team should make the therapeutic decision.

Abstract: Right atrial masses are not pretty rare and might be a diagnostic challenge.

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