Abstract
In order to illustrate potential complications of the growing teratoma syndrome (GTS), three out of 180 pa- tients with germ-cell tumors from a single institution were identified. Despite surgical resection of recurrent mature teratoma, one patient developed a renal failure due to structure compression, one patient presented malignant transformation to squamous cell lung cancer, and a third patient had an unresectable mediastinal mass. Although the treatment of choice for GTS is complete surgical resection, it is not always possible and then recurrence is common.
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