Growing teratoma syndrome in primary mediastinal germ cell tumor: our experience.


Journal

Asian cardiovascular & thoracic annals
ISSN: 1816-5370
Titre abrégé: Asian Cardiovasc Thorac Ann
Pays: England
ID NLM: 9503417

Informations de publication

Date de publication:
Feb 2019
Historique:
pubmed: 17 1 2019
medline: 10 4 2019
entrez: 17 1 2019
Statut: ppublish

Résumé

Growing teratoma syndrome is a rare phenomenon seen in nonseminomatous germ cell tumors after chemotherapy, where the tumor grows paradoxically despite normalization of tumor markers. It has been found in various locations, most commonly, the retroperitoneum in association with metastatic disease. The occurrence of growing teratoma syndrome in a mediastinal primary is very rare and there are only a few reports in the literature. In a retrospective review, out of 12 patients with mediastinal involvement by a germ cell tumor, 5 had a primary from the mediastinum. We present a series of 3 cases of primary germ cell tumor of the mediastinum, which after chemotherapy, fulfilled the criteria for growing teratoma syndrome and were managed with surgical excision. Development of growing teratoma syndrome in a primary mediastinal germ cell tumor is extremely rare. Its awareness and early detection can lead to successful surgical excision and long-term cure.

Sections du résumé

BACKGROUND BACKGROUND
Growing teratoma syndrome is a rare phenomenon seen in nonseminomatous germ cell tumors after chemotherapy, where the tumor grows paradoxically despite normalization of tumor markers. It has been found in various locations, most commonly, the retroperitoneum in association with metastatic disease. The occurrence of growing teratoma syndrome in a mediastinal primary is very rare and there are only a few reports in the literature.
METHODS METHODS
In a retrospective review, out of 12 patients with mediastinal involvement by a germ cell tumor, 5 had a primary from the mediastinum. We present a series of 3 cases of primary germ cell tumor of the mediastinum, which after chemotherapy, fulfilled the criteria for growing teratoma syndrome and were managed with surgical excision.
CONCLUSION CONCLUSIONS
Development of growing teratoma syndrome in a primary mediastinal germ cell tumor is extremely rare. Its awareness and early detection can lead to successful surgical excision and long-term cure.

Identifiants

pubmed: 30646758
doi: 10.1177/0218492318823345
doi:

Substances chimiques

Antineoplastic Agents 0
Biomarkers, Tumor 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

98-104

Auteurs

Ashwani Kumar Sachdeva (AK)

1 Balco Medical Center, Raipur, India.

Prasanth Penumadu (P)

2 Department of Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India.

Pavneet Kohli (P)

3 Department of Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India.

Biswajit Dubashi (B)

4 Department of Medical Oncology, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India.

Hemachandren Munuswamy (H)

5 Department of Cardiovascular and Thoracic Surgery, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India.

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Classifications MeSH