JTCS Medtronic Endurant
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Andrew E. Newcomb
C. Peter Clarke
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Newcomb, A. E.
Right arrow Articles by Jerums, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Newcomb, A. E.
Right arrow Articles by Jerums, G.
Related Collections
Right arrow Mediastinum

J Thorac Cardiovasc Surg 2006;132:722-723
© 2006 The American Association for Thoracic Surgery

Brief Communication

Urine drug testing in an athlete leads to the diagnosis of unsuspected mediastinal germ cell tumor

Andrew E. Newcomb, MBBSa,*, C. Peter Clarke, FRACSa, Cherie Y. Chiang, MBBSb, George Jerums, FRACPb

a Department of Thoracic Surgery, Austin Hospital, Melbourne, Australia.
b Department of Endocrinology, Austin Hospital, Melbourne, Australia.

Received for publication March 14, 2006; accepted for publication April 20, 2006.

* Address for reprints: Andrew Newcomb, MBBS, Department of Thoracic Surgery, Austin Hospital, Studley Rd, Heidelberg, Victoria 3082, Australia (Email: anewcomb@amavic.com).

The first 20% of the full text of this article appears below.

Mediastinal seminoma is an uncommon malignancy. We present the case of a 17-year-old weightlifter given a diagnosis as a result of routine urine drug screening.

Clinical Summary

This competition weightlifter was referred to an endocrinologist after a positive ß-human chorionic gonadotropin (HCG) result on routine urine screening (B sample). He was asymptomatic and denied illicit drug use. Blood tests confirmed an increase in ß-HCG levels, with decreased leutenizing hormone and follicle-stimulating hormone levels and also increased testosterone levels (Table 1). Examination, including testicular assessment with ultrasonography, was unremarkable, and an extragonadal germ cell tumor was suspected. Computed tomographic scanning of the chest, abdomen, and pelvis was performed and showed a 33-mm anterior mediastinal mass (Figure 1, A). This showed fluoro-deoxy glucose avidity on positron emission tomography (Figure 1, B). . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2006 by The American Association for Thoracic Surgery.