Alternative Names
Dermoid cyst - malignant; Nonseminomatous germ cell tumor - teratoma; Immature teratoma
Symptoms
Symptoms result from spread of the tumor into surrounding tissues and include:
- Cough
- Shortness of breath
- Chest pain
- Limited exercise tolerance
- Fatigue
Exams and Tests
On physical examination, a physician may see signs of congestive heart failure and increased pressure in the chest cavity. Diagnosis is made using the following tests:
- History and physical examination
- CT scans of the chest, abdomen, and pelvis
- Elevated levels of b-HCG and AFP in the blood
- Mediastinoscopy and biopsy -- use of a special scope to look in the mediastinum (mediastinoscopy) and remove a piece of the tumor (biopsy)
- Anterior mediastinotomy -- open surgery to remove the tumor or part of it