A Case of Mediastinal Seminoma Presenting as Superior Vena Cava Syndrome

  • Xu Xue
    Medical College of Shandong University, China
  • Sun Chengtao
    Department of Tumor Research and Therapy Center, Provincial Hospital Affiliated to Shandong University, Shandong University, China
  • Zhang Lei
    Department of Orthopedics, Shandong Province Qianfoshan Hospital Affiliated to Shandong University, China
  • Liang Jiangjiu
    Department of Health Care, Shandong Province Qianfoshan Hospital Affiliated to Shandong University, China

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抄録

Primary mediastinal seminoma is a rare tumor usually with nonspecific symptoms such as chest pain, dyspnea and hoarseness, but superior vena cava syndrome (SVCS) is an extremely uncommon syndrome. We report a 25-year-old man who presented with superior vena cava syndrome for 1 month and a 1-week history of retrosternal chest pain. Thorax computerized tomography demonstrated a soft tissue mass in the anterior mediastinum with stippled calcifications compressing the superior vena cava and other major vessels. Transthoracic biopsy showed primary seminoma of the anterior mediastinum. Combined chemoradiotherapy was performed and the patient was considered to have a partial response to treatment.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 51 (10), 1269-1272, 2012

    一般社団法人 日本内科学会

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