Among 15 patients with primary mediastinal nonseminomatous germ cell tumors experienced during the past 12 years, 5 were diagnosed with germ cell tumors with somatic-type malignancy. The pretreatment stages were stage I in 2 patients and stage II in 3. All 5 patients received perioperative chemotherapy plus surgical resection, and 4 remain alive without relapse, with a mean follow-up of 60 months.
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.