|
|
(49 intermediate revisions by 2 users not shown) |
Line 1: |
Line 1: |
| __NOTOC__
| | #REDIRECT [[Mediastinal mass differential diagnosis]] |
| {{SI}}
| |
| {{CMG}} {{AE}} {{MV}}
| |
|
| |
| {{SK}} Synonym 1; Synonym 2; Synonym 3
| |
|
| |
| ==Overview==
| |
| | |
| | |
| ==Historical Perspective==
| |
| *Mediastinal germ cell tumor was first discovered by [scientist name], a [nationality + occupation], in [year] during/following [event].
| |
| *In [year], [gene] mutations were first identified in the pathogenesis of mediastinal germ cell tumor.
| |
| *In [year], the first [discovery] was developed by [scientist] to treat/diagnose mediastinal germ cell tumor.
| |
|
| |
| ==Classification==
| |
| *Mediastinal germ cell tumor may be classified according to [classification method] into [number] subtypes/groups:
| |
| :*[group1]
| |
| :*[group2]
| |
| :*[group3]
| |
| *Other variants of mediastinal germ cell tumor include [disease subtype 1], [disease subtype 2], and [disease subtype 3].
| |
|
| |
| ==Pathophysiology==
| |
| *The pathogenesis of mediastinal germ cell tumor is characterized by [feature1], [feature2], and [feature3].
| |
| *The [gene name] gene/Mutation in [gene name] has been associated with the development of mediastinal germ cell tumor, involving the [molecular pathway] pathway.
| |
| *On gross pathology, [feature1], [feature2], and [feature3] are characteristic findings of mediastinal germ cell tumor.
| |
| *On microscopic histopathological analysis, [feature1], [feature2], and [feature3] are characteristic findings of mediastinal germ cell tumor.
| |
|
| |
| ==Causes==
| |
| * Mediastinal germ cell tumor may be caused by either [cause1], [cause2], or [cause3].
| |
| * Mediastinal germ cell tumor is caused by a mutation in the [gene1], [gene2], or [gene3] gene[s].
| |
| * There are no established causes for mediastinal germ cell tumor.
| |
|
| |
| ==Differentiating mediastinal germ cell tumor from other Diseases==
| |
| *Mediastinal germ cell tumor must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as:
| |
| :*[Differential dx1]
| |
| :*[Differential dx2]
| |
| :*[Differential dx3]
| |
|
| |
| ==Epidemiology and Demographics==
| |
| * The prevalence of mediastinal germ cell tumor is approximately [number or range] per 100,000 individuals worldwide.
| |
| * In [year], the incidence of mediastinal germ cell tumor was estimated to be [number or range] cases per 100,000 individuals in [location].
| |
|
| |
| ===Age===
| |
| *Patients of all age groups may develop mediastinal germ cell tumor.
| |
|
| |
| *Mediastinal germ cell tumor is more commonly observed among patients aged [age range] years old.
| |
| *Mediastinal germ cell tumor is more commonly observed among [elderly patients/young patients/children].
| |
|
| |
| ===Gender===
| |
| *Mediastinal germ cell tumor affects men and women equally.
| |
|
| |
| *[Gender 1] are more commonly affected with mediastinal germ cell tumor than [gender 2].
| |
| * The [gender 1] to [Gender 2] ratio is approximately [number > 1] to 1.
| |
|
| |
| ===Race===
| |
| *There is no racial predilection for mediastinal germ cell tumor.
| |
|
| |
| *Mediastinal germ cell tumor usually affects individuals of the [race 1] race.
| |
| *[Race 2] individuals are less likely to develop mediastinal germ cell tumor.
| |
|
| |
| ==Risk Factors==
| |
| *Common risk factors in the development of mediastinal germ cell tumor are [risk factor 1], [risk factor 2], [risk factor 3], and [risk factor 4].
| |
|
| |
| == Natural History, Complications and Prognosis==
| |
| *The majority of patients with mediastinal germ cell tumor remain asymptomatic for [duration/years].
| |
| *Early clinical features include [manifestation 1], [manifestation 2], and [manifestation 3].
| |
| *If left untreated, [#%] of patients with mediastinal germ cell tumor may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
| |
| *Common complications of mediastinal germ cell tumor include [complication 1], [complication 2], and [complication 3].
| |
| *Prognosis is generally [excellent/good/poor], and the [1/5/10year mortality/survival rate] of patients with mediastinal germ cell tumor is approximately [#%].
| |
|
| |
| == Diagnosis ==
| |
| ===Diagnostic Criteria===
| |
| *The diagnosis of mediastinal germ cell tumor is made when at least [number] of the following [number] diagnostic criteria are met:
| |
| :*[criterion 1]
| |
| :*[criterion 2]
| |
| :*[criterion 3]
| |
| :*[criterion 4]
| |
|
| |
| === Symptoms ===
| |
| *Mediastinal germ cell tumor is usually asymptomatic.
| |
| *Symptoms of mediastinal germ cell tumor may include the following:
| |
| :*[symptom 1]
| |
| :*[symptom 2]
| |
| :*[symptom 3]
| |
| :*[symptom 4]
| |
| :*[symptom 5]
| |
| :*[symptom 6]
| |
|
| |
| === Physical Examination ===
| |
| *Patients with mediastinal germ cell tumor usually appear [general appearance].
| |
| *Physical examination may be remarkable for:
| |
| :*[finding 1]
| |
| :*[finding 2]
| |
| :*[finding 3]
| |
| :*[finding 4]
| |
| :*[finding 5]
| |
| :*[finding 6]
| |
|
| |
| === Laboratory Findings ===
| |
| *There are no specific laboratory findings associated with mediastinal germ cell tumor.
| |
| | |
| *A [positive/negative] [test name] is diagnostic of mediastinal germ cell tumor.
| |
| *An [elevated/reduced] concentration of [serum/blood/urinary/CSF/other] [lab test] is diagnostic of mediastinal germ cell tumor.
| |
| *Other laboratory findings consistent with the diagnosis of mediastinal germ cell tumor include [abnormal test 1], [abnormal test 2], and [abnormal test 3].
| |
|
| |
| ===Imaging Findings===
| |
| *There are no [imaging study] findings associated with mediastinal germ cell tumor.
| |
|
| |
| *[Imaging study 1] is the imaging modality of choice for mediastinal germ cell tumor.
| |
| *On [imaging study 1], mediastinal germ cell tumor is characterized by [finding 1], [finding 2], and [finding 3].
| |
| *[Imaging study 2] may demonstrate [finding 1], [finding 2], and [finding 3].
| |
|
| |
| === Other Diagnostic Studies ===
| |
| *Mediastinal germ cell tumor may also be diagnosed using [diagnostic study name].
| |
| *Findings on [diagnostic study name] include [finding 1], [finding 2], and [finding 3].
| |
|
| |
| == Treatment ==
| |
| === Medical Therapy ===
| |
| *There is no treatment for mediastinal germ cell tumor; the mainstay of therapy is supportive care.
| |
|
| |
| *The mainstay of therapy for mediastinal germ cell tumor is [medical therapy 1] and [medical therapy 2].
| |
| *[Medical therapy 1] acts by [mechanism of action1].
| |
| *Response to [medical therapy 1] can be monitored with [test/physical finding/imaging] every [frequency/duration].
| |
|
| |
| === Surgery ===
| |
| *Surgery is the mainstay of therapy for mediastinal germ cell tumor.
| |
| *[Surgical procedure] in conjunction with [chemotherapy/radiation] is the most common approach to the treatment of mediastinal germ cell tumor.
| |
| *[Surgical procedure] can only be performed for patients with [disease stage] mediastinal germ cell tumor.
| |
|
| |
| === Prevention ===
| |
| *There are no primary preventive measures available for mediastinal germ cell tumor.
| |
|
| |
| *Effective measures for the primary prevention of mediastinal germ cell tumor include [measure1], [measure2], and [measure3].
| |
| | |
| *Once diagnosed and successfully treated, patients with mediastinal germ cell tumor are followed-up every [duration]. Follow-up testing includes [test 1], [test 2], and [test 3].
| |
| ==References==
| |
| {{Reflist|2}}
| |
|
| |
| [[Category:Pick One of 28 Approved]]
| |