The relative position of the tumor and its intracaval extension are shown. The final pathology was yolk sac tumor with 1 mm brachiocephalic margins and 2.5 mm pericardial margin. There was lymphvascular spread and tumor in the superior vena cava.
Thoracic Surgeon: Donald Bennett
Cardiothoracic Surgeon: Subrato Deb
Vascular Surgeon: David Whittaker
Surgical Chief Resident: Christian Corwin
Surgical Resident: Tamara Kindelan
Workup: Dennis White
References:
Moran C: Germ cell tumors of the mediastinum. Cancer, 80:4, August 1997, 699-707.
Ganjoo KN et al: Results of modern therapy for patients with mediastinal non-seminomatous germ cell tumors. Cancer, 88:5, March 1, 2000, 1051-1056.
Vuky J et al: Role of postchemotherapy adjuvant surgery in the management of patients with nonseminoma arising from the mediastinum. J Clin Onc, 19:3, Feb. 1 2001, 682-688.
Hartmann JT et al: Second-line chemotherapy in patients with relapsed extragonadal nonseminomatous germ cell tumors: results of an international multicenter analysis. J Clin Onc, 19:6, March 15, 2001, 1641-1648.
Bokemeyer C et al: Extragonadal germ cell tumors of the mediastinum and retroperitoneum: results from an international analysis. J Clin Onc, 20:7, April 02, 1864-1873.
Schneider B et al: Outcome of patients with residual germ cell or non-germ cell malignancy after resection of primary mediastinal nonseminomatous germ cell cancer. J Clin Onc, 22:7, April 1, 2004, 1195-1200.