A Case of Mixed Germ Cell Tumor of the Mediastinum

종격동에 발생한 혼합생식세포종양 1예

  • Cho, Wook (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Han, Min Soo (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Kim, Kil Dong (Department of Chest Surgery, Eulji University School of Medicine) ;
  • Kim, Sung Ho (Department of Pathology, Eulji University School of Medicine) ;
  • Kim, Jun Hyoung (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Lee, Yang Deok (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Cho, Yong Seon (Department of Internal Medicine, Eulji University School of Medicine)
  • 조욱 (을지대학교 의과대학 내과학교실) ;
  • 한민수 (을지대학교 의과대학 내과학교실) ;
  • 김길동 (을지대학교 의과대학 흉부외과학교실) ;
  • 김성호 (을지대학교 의과대학 병리학교실) ;
  • 김준형 (을지대학교 의과대학 내과학교실) ;
  • 이양덕 (을지대학교 의과대학 내과학교실) ;
  • 조용선 (을지대학교 의과대학 내과학교실)
  • Received : 2004.12.09
  • Accepted : 2005.01.25
  • Published : 2005.02.28

Abstract

The Mixed germ cell tumors of the mediastinum are very quite rare. The Prognosis is generally dominated by the most aggressive component, which is represented by a choriocarcinoma, an endodermal sinus tumor, an embryonal carcinoma, and a seminoma, in descending order of in the degree of malignancy. We experienced one a case of a mixed germ cell tumor at the anterior mediastinum. The patient was 27-year-old male, who complained of hemoptysis and cough. The Chest X-ray showed a well-defined lobulated mediastinal mass in the left upper lung field. The operation was done and The mass was excised surgically. A Biopsy showed elements of mature tissues, immature neuronal components, and seminoma components.

종격동에 발생하는 생식세포종양에서 미성숙 기형종과 정상피종이 혼합된 경우는 매우 드물며 예후는 좋지 않은 것으로 알려져 있다. 저자들은 객혈을 주소로 내원한 환자에서 수술로 확진한 미성숙 기형종과 장상피종이 혼합된 생식세포 종양의 1예를 경험하였기에 보고하는 바이다.

Keywords

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