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Vol. 21. Issue 2.
Pages 79-81 (March - April 1985)
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Vol. 21. Issue 2.
Pages 79-81 (March - April 1985)
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Sindrome mediastinico por tumor germinal maligno
Mediastinal syndrome caused by malignant germinal tumor
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J.R. Muñoz*, J.A. Gimenez**, R. Gomez***, J.L. Andres****
* Profesor Titular de Patología General. Hospital Miguel Servet. Zaragoza
** Servicio de Anatomía Patológica. Hospital Miguel Servet. Zaragoza
*** Sección de Radiodiagnóstico. Departamento de Radioelectrologia. Hospital Miguel Servet. Zaragoza
**** Sección de Cirugía Torácica. Hospital Miguel Servet. Zaragoza
J. Lacasa, A. Samperiz, J.M. Aguirre, F. Fuentes
Departamento de Medicina Interna. Instituto Nacional de la Salud. Hospital Miguel Servet. Zaragoza
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Se presenta un caso clínico de síndrome mediastínico, por tumor germinal con manifestaciones importantes de insuficiencia respiratoria y determinaciones elevadas de alfa-fetoproteína y gonadotrofina coriónica.

El estudio anatomopatológico demuestra la existencia de un tumor germinal con diferentes tipos de células malignas, diferenciando las estructuras histológicas a un diagnóstico de teratoma.

Se comenta la evolución clínica, el tratamiento radioterápico y por quimioterapia realizado.

A case of mediastinal syndrome caused by a germinal tumor with severe respiratory insufficiency and high alpha-fetoprotein and chorionic gonadotrophin levels is reported. Pathology studies revealed a germinal tumor composed of different types of malignant cells; differential histology studies established a teratoma.

The clinical course and radiotherapy and chemotherapy are described.

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Copyright © 1985. Sociedad Española de Neumología y Cirugía Torácica
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