Al Ghamdi Abdullah M, Al Fraih Othman M, Al Abdulhai Meenal A, Alshaer Ahmed, Al Qahtani Yousif, Khan Natasha T, Chaudhry Ikram Ul Haq
Department of Thoracic Surgery, Dammam Medical Complex Saudi Arabia, Saudi Arabia.
Ann Med Surg (Lond). 2021 Aug 23;69:102744. doi: 10.1016/j.amsu.2021.102744. eCollection 2021 Sep.
We report a case of 16 -year male who presented with nonproductive cough, chest pain, and hemoptysis. His chest -x-ray and computerized tomographic scan (CT) of the thorax with contrast enhancement revealed a large mediastinal mass mostly occupying the left hemithorax. Percutaneous CT scan-guided biopsy of the mediastinal mass was reported as an endodermal sinus tumor (EDST). Serum alpha-fetoprotein levels were markedly raised (120,000 ng/ml). After completion of chemotherapy repeat, CT scan of the thorax revealed a large residual mass. Radical resection of the tumor was carried out. Twelve-year post-surgical resection follow-up with serial serum alpha-fetoprotein (AFP) tumor marker levels and CT scan of the thorax showed no recurrence.
我们报告一例16岁男性患者，其症状为干咳、胸痛和咯血。他的胸部X光片及胸部增强计算机断层扫描（CT）显示一个巨大的纵隔肿块，大部分占据左半胸。经皮CT引导下纵隔肿块活检报告为内胚窦瘤（EDST）。血清甲胎蛋白水平显著升高（120,000 ng/ml）。化疗结束后复查胸部CT，显示有一个大的残留肿块。遂进行了肿瘤根治性切除术。术后12年随访，连续检测血清甲胎蛋白（AFP）肿瘤标志物水平并进行胸部CT扫描，结果显示无复发。
