Abstract
INTRODUCTION: Mediastinal germ-cell tumors in adults are unusual, representing 2-5% of germ-cell tumors and only 1-10% of all mediastinal tumors. We report a case of a large mediastinal mixed germ-cell tumor composed of seminoma, mature teratoma, ganglioneuroblastoma and an invasive squamous cell carcinoma. Such an association is extremely rare in adult patients.
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