[Cervical mass as an isolated finding in primary mediastinal seminoma].
Seminoma is a malignant tumor of germ cell origin, usually found in male gonads. Primary seminoma of the mediastinum is rare. The natural history of mediastinal seminoma is growth which is asymptomatic until a late stage, and therefore when diagnosed it is large and causes symptoms of cough, hoarseness and chest pain. A cervical mass is a rare finding in this tumor, and when it is found it is considered a metastasis to a cervical lymph node. This is a case history of a patient referred for evaluation of a mass in the lower neck, which proved to be a direct extension of the primary anterior mediastinal tumor. The tumor was diagnosed pathologically as a primary mediastinal seminoma. Despite the findings of a massive tumor in the mediastinum, the patient had no complaints.
Ashkenazi
Dror
D
Department of Otolaryngology Head and Neck Surgery, HaEmek Medical Center, Afula, Israel. Dror_as@Clalit.org.il
Peretz
Shimon
S
D000328:Adult; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D011859:Radiography; D012186:Retroperitoneal Neoplasms / Q000473:pathology; D018239:Seminoma / Q000000981:diagnostic imaging / Q000473:pathology*; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*