An Unusual Successfully Treated Case of Pulmonary Yolk Sac Tumor

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An Unusual Successfully Treated Case of Pulmonary Yolk Sac Tumor Chih-Hao Chen, MD, Tze-Chien Chen, MD, Wen-Chien Huang, MD, Tung-Ying Chen, MD, Hung-Chang Liu, MD The Annals of Thoracic Surgery Volume 85, Issue 2, Pages 656-658 (February 2008) DOI: 10.1016/j.athoracsur.2007.08.030 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Chest computed tomographic scan. (A) Before adjuvant chemotherapy, a huge mass invaded the lateral chest wall and mediastinum, which was deviated to the left. (B) Five months after beginning chemotherapy, the tumor is greatly shrunk, the mediastinum returns to its normal position, and there is clear separation between the tumor and the mediastinum. The tumor is relatively hypodense, suggesting large-scale necrosis. The Annals of Thoracic Surgery 2008 85, 656-658DOI: (10.1016/j.athoracsur.2007.08.030) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Levels of serum alpha-fetoprotein declined over the course of neoadjuvant chemotherapy. (AFP = alpha-fetoprotein; BEP = bleomycin, etoposide, and cisplatin.) The Annals of Thoracic Surgery 2008 85, 656-658DOI: (10.1016/j.athoracsur.2007.08.030) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Gross appearance of the pulmonary yolk sac tumor. (A) Resected tumor with part of the right lower lobe (black arrow) and the right middle lobe (green arrow), the site of origin. (B) Cut surface showing the thin capsule with marked necrosis and hemorrhage of the contents. The Annals of Thoracic Surgery 2008 85, 656-658DOI: (10.1016/j.athoracsur.2007.08.030) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions