A mediastinal germ cell tumor mimicking an ectopic pregnancy.
10.3802/jgo.2011.22.4.288
- Author:
Caroline RIVERA
1
;
Marion POINGT
;
Francois VANDENBOSSCHE
;
Jacques JOUGON
Author Information
1. Department of Thoracic Surgery, Haut Leveque Hospital, Victor Segalen Bordeaux 2 University, Bordeaux, France. krorivera@yahoo.fr
- Publication Type:Case Report
- Keywords:
Ectopic pregnancy;
Germ cell tumor;
Mediastinum
- MeSH:
Amenorrhea;
Chorionic Gonadotropin;
Contraception;
Curettage;
Female;
Germ Cells;
Hemorrhage;
Humans;
Mediastinum;
Methotrexate;
Neoplasms, Germ Cell and Embryonal;
Pregnancy;
Pregnancy, Ectopic;
Thorax
- From:Journal of Gynecologic Oncology
2011;22(4):288-291
- CountryRepublic of Korea
- Language:English
-
Abstract:
The objective is to report the case of a 36 year-old female with a primary mediastinal germ cell tumor mimicking an ectopic pregnancy. The patient under birth control pill presented, at seven weeks of amenorrhea, a beta-human chorionic gonadotropin (beta-hCG) level of 850 UI and uterine vacuity with left lateral uterine heterogeneous mass but no bleeding and no pain. She received left adnexectomy, uterine curettage and further treatment by methotrexate because of persistent high beta-hCG markers. Computed tomography scan finally permitted to discover a voluminous anterior mediastinal tumor. We may recommend investigating patients with a simple chest X-ray that present with persistent increased beta-hCG despite efficient ectopic pregnancy treatment.
