ArticleCancer reports (Hoboken, N.J.)2021
Multimodality treatment outcome in patients with primary malignant mediastinal germ cell tumor in adults.
Article in Cancer reports (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 8 citations in OpenAlex.
- A rare entity in the retroperitoneum: Case report of a primary seminoma.Urology case reports · 2026Article
- A Rare Case of Mediastinal Seminoma with Granulomatous Features: Diagnostic and Therapeutic Considerations.Surgical case reports · 2025Article
- Current Trends in the Surgical Management of Yolk Sac Tumors.Current oncology (Toronto, Ont.) · 2024Review
- Multimodality treatment outcome in patients with primary malignant mediastinal germ cell tumor in adults.Cancer reports (Hoboken, N.J.) · 2021Article
- Primary mediastinal germ cell tumours: real world experience in the low middle income (LMIC) setting.Ecancermedicalscience · 2021Article
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Authors and funding
7 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMalignant mediastinal germ cell tumor (MGCT) is rare and has poor outcomes even after multimodality treatment. Data from resource-poor countries are scarce in the literature.
aimsTo evaluate the clinicopathologic features and treatment outcome of primary malignant MGCT at our center. METHODS AND
resultsSingle institutional data review of patients aged ≥18 years, treated with a diagnosis of malignant MGCT between Nov'2013 and Nov'2019. Risk stratification was done as per International Germ Cell Cancer Collaborative Group (IGCCCG) classification. Patients were treated with platinum based chemotherapy and surgical resection for the residual disease was performed in non-seminomatous histology.28 patients had MGCT with a median age of 25 years (range:18-36) and all were male. Seven patients had superior vena cava obstruction (SVCO) at diagnosis and pre-treatment histological diagnosis was available in 23 (82%) patients. Seven (25%) patients had seminoma histology, all were of good risk as per IGCCCG risk criteria, whereas others had non-seminoma histology with poor-risk group. Seven patients with seminoma histology achieved a complete response after initial treatment. Six patients with non-seminoma histology underwent complete resection of residual disease post-chemotherapy and five revealed residual viable tumors. After a median follow-up of 10.8 months (range:2.9-75), 3-year progression-free survival (PFS) and overall survival (OS) estimate was 61.2% and 94.7% in the whole cohort, respectively and 3-year PFS and OS estimate was 100% in patients with seminoma histology.
conclusionsThis is the largest data set of MGCT patients' outcomes reported from India with multi-modality treatment. All patients were male and one-fourth had SVCO at presentation. Seminoma histology patients had a 100% outcome after initial platinum based chemotherapy. But, those with non-seminoma histology had a poor outcome even with chemotherapy and surgery.
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