Germ Cell Tumors

Overview

Germ cell tumors are growths that come from cells that develop into eggs in females or sperm in males. These tumors can be benign or malignant and can occur in the reproductive organs (like the ovaries or testes) or in other parts of the body, like the chest, abdomen, or brain.

Common signs and symptoms

  • Testicular lump or swelling
  • Abdominal pain or swelling due to ovarian mass; may lead to abnormal vaginal bleeding or precocious puberty
  • Extragonadal tumors: Can cause back pain (if in the sacrococcygeal area), respiratory distress (if in the chest), or gastrointestinal symptoms (if in the abdomen)
  • Fatigue, weight loss, and fever

Diagnostic tests and procedures

Physical Examination

Assessment of lumps or swelling in the affected area.

Imaging studies

Imaging studies like Ultrasound, CT scan and MRI.

Blood Tests

Measurement of tumor markers such as: Alpha-fetoprotein (AFP), Beta-human chorionic gonadotropin (β-hCG), Lactate dehydrogenase (LDH) and others.

Biopsy:

Tissue sample taken for histological examination to confirm diagnosis.

Treatment options

Surgery

Primary treatment for localized tumors; involves removal of the tumor and affected tissue.

Chemotherapy

Often used for malignant germ cell tumors.

Radiation Therapy

May be used for certain types of germ cell tumors.

Prognosis

The prognosis usually varies based on factors such as the tumor’s type, location, and whether it has spread. Many children respond well to treatment, especially when the tumor is detected early.

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