Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Respiratory Diseases
Primary Seminoma in the Middle Mediastinum
Hiroyuki NAKAMURA, Toshio HASHIMOTO, Hiroshi KUSAMA, Akihiko SUDOH, Hideki ADACHI, Hisanaga YAGYU, Koji KISHI, Shuji OH-ISHI, Takeshi MATSUOKA
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Keywords: mediastinal seminoma, middle mediastinum, extragonadal
JOURNAL OPEN ACCESS

2004 Volume 43 Issue 12 Pages 1191-1193

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Abstract

Primary mediastinal seminoma is a relatively rare tumor usually located in the anterior mediastinum. We report here an extremely rare case of a 66-year-old man with primary seminoma in the middle mediastinum. A physical examination showed lymphadenopathy in the right supraclavicular area. A chest CT confirmed the presence of a tumor occupying the retrotracheal space. A histological examination demonstrated metastatic seminoma from the open biopsy of the lymph node. Abdominal, pelvis, and cerebral CT scan and testicular ultrasound were negative. Thus, primary mediastinal seminoma in the middle mediastinum with supraclavicular lymph node metastasis was diagnosed.

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© 2004 by The Japanese Society of Internal Medicine
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