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High‐dose chemotherapy followed by autologous peripheral blood stem cell transplantation for recurrent primary mediastinal malignant germ cell tumor: A case report
Author(s) -
Keino Dai,
Kondoh Kensuke,
Murata Shunsuke,
Ohyama Ryo,
Morimoto Mizuho,
Muto Shinji,
Fukuda Miho,
Wakisaka Munechika,
Kitagawa Hiroaki,
Kinoshita Akitoshi
Publication year - 2014
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.12210
Subject(s) - medicine , chemotherapy , germ cell , stem cell , transplantation , peripheral blood , pathology , oncology , surgery , biochemistry , chemistry , genetics , biology , gene
A 15‐yr‐old boy presented with an anterior mediastinal mass, multiple lung metastases and obstruction of the left brachiocephalic vein, the superior vena cava and the subclavian vein. Tumor biopsy by CT guidance confirmed a diagnosis of GCT. Five courses of BEP therapy were performed, and CT of the chest revealed reduction in the anterior mediastinal mass and disappearance of the multiple lung metastases. We performed the anterior mediastinal mass extraction followed by adjuvant chemotherapy consisting of ICE and TIP . However, the AFP levels became elevated soon after. Abnormal accumulation was observed in the right upper lung by DW ‐ MRI . After the operation, two courses of TI chemotherapy and two courses of HDCT followed by auto‐PBSCT were performed. He was complicated with auditory disorder and renal dysfunction. Although HDCT followed by auto‐PBSCT was effective for the relapsed primary mediastinal GCT, a treatment strategy avoiding late complications is warranted.