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← Childhood Extracranial Germ Cell Tumors

HEALTH PROFESSIONAL · SOURCE READING

Mediastinal site

Source: Childhood Extracranial Germ Cell Tumors Treatment (PDQ®)–Health Professional Version, National Cancer Institute.

Source updated: November 5, 2024 · Captured 2026-09-09.

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Context: Treatment of Malignant Extragonadal Extracranial GCTs in Children / Standard Treatment Options for Malignant Extragonadal Extracranial GCTs in Prepubertal Children / Site-specific considerations for malignant extragonadal extracranial GCTs

Mediastinal GCTs account for 15% to 20% of malignant extragonadal extracranial GCTs in children.[5] The histology of mediastinal GCT is dependent on age, with teratomas predominating among infants and yolk sac tumors predominating among children aged 1 to 4 years.[7]

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Prepubertal children with mediastinal malignant teratomas are treated with tumor resection, which is curative in almost all patients.[7] Children with stage I to stage III nonmetastatic mediastinal GCTs who receive cisplatin-based chemotherapy have 5-year EFS and OS rates of 90%. However, patients with stage IV mediastinal tumors have EFS rates closer to 80%.[3,5,7]; [14][Level of evidence C1]

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Preserved source evidence · Not medical advice