Mediastinal Nonseminoma
- PMID: 28613751
- Bookshelf ID: NBK431099
Mediastinal Nonseminoma
Excerpt
Germ cell tumors are cancers that arise from the reproductive cells of the testis or ovaries. Sometimes, the germ cells may arise in the mediastinum, chiefly in young males. Of these, nearly 70% are non-seminomas and the rest are seminomas. Non-seminomas include the following:
Embryonal carcinomas
Yolk sac tumors
Teratomas
Choriocarcinomas
The only well-known risk factor for extragonadal germ cell tumors is Klinefelter syndrome. In the majority of patients with extragonadal tumors, there is no evidence of a primary malignancy in the scrotum. In most patients, the mediastinal non-seminomas do not produce symptoms until they get large and occupy space.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Staging
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Hartmann JT, Nichols CR, Droz JP, Horwich A, Gerl A, Fossa SD, Beyer J, Pont J, Einhorn L, Kanz L, Bokemeyer C. The relative risk of second nongerminal malignancies in patients with extragonadal germ cell tumors. Cancer. 2000 Jun 01;88(11):2629-35. - PubMed
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- Gilligan TD, Seidenfeld J, Basch EM, Einhorn LH, Fancher T, Smith DC, Stephenson AJ, Vaughn DJ, Cosby R, Hayes DF, American Society of Clinical Oncology American Society of Clinical Oncology Clinical Practice Guideline on uses of serum tumor markers in adult males with germ cell tumors. J Clin Oncol. 2010 Jul 10;28(20):3388-404. - PubMed
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