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Unusual scapular metastasis as initial manifestation of advanced nonseminomatous germ cell tumor of the mediastinum

✍ Scribed by Ming-Fang Cheng; Yi-Jen Peng; Guo-Shu Huang; Chian-Her Lee; Pei-Chun Chiang; Herng-Sheng Lee


Book ID
116529451
Publisher
Elsevier Science
Year
2007
Tongue
English
Weight
714 KB
Volume
36
Category
Article
ISSN
1527-3288

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We describe a 2-year-old black female who was previously in complete remission from a stage 4 mediastinal germ cell tumor (stage 4 because of a single pulmonary parenchymal lesion). She presented with headaches, obtundation, and brain herniation, and suffered sudden death 12 months after completing