Unusual scapular metastasis as initial manifestation of advanced nonseminomatous germ cell tumor of the mediastinum

Ming Fang Cheng, Yi Jen Peng, Guo Shu Huang, Chian Her Lee, Pei Chun Chiang, Herng Sheng Lee

研究成果: 雜誌貢獻文章同行評審

摘要

Primary malignant germ cell tumors of the mediastinum are relatively rare, occurring predominantly in young male adults, and have a poor prognosis. We present a case of a 27-year-old man who initially experienced a persistent, intractable painful sensation over the right lower scapula despite taking an analgesic agent for 2 months. A scapular x-ray film and a whole-body bone scan showed an expansile osteolytic lesion. Excisional biopsy of the scapula revealed a metastatic carcinoma, suggestive of nonseminomatous germ cell tumor origin. Further examination of the whole abdomen and bilateral testes were negative. Chest computed tomography and magnetic resonance imaging showed a primary tumor mass in the anterior mediastinum. Chemotherapy with cisplatin, bleomycin, and etoposide was administered for six courses. The mediastinal tumor mass was markedly reduced in size and remission without evidence of tracer uptake by [(18)F]fluorodeoxyglucose positron emission tomography examination. Six months after chemotherapy, the patient received advanced surgical intervention to remove the mediastinal tumor, the pathologic features of which were similar to the previous scapular lesion. He was doing well at 1-year follow-up.

原文英語
頁(從 - 到)79-84
頁數6
期刊Heart and Lung: Journal of Acute and Critical Care
36
發行號1
DOIs
出版狀態已發佈 - 1月 2007
對外發佈

ASJC Scopus subject areas

  • 重症監護和重症監護醫學
  • 心臟病學與心血管醫學
  • 肺和呼吸系統醫學

指紋

深入研究「Unusual scapular metastasis as initial manifestation of advanced nonseminomatous germ cell tumor of the mediastinum」主題。共同形成了獨特的指紋。

引用此