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Anterior Mediastinal Mass

Anterior Mediastinal Mass

Serum hCG & AFP

High hCG > 1000 or any


Normal AFP or hCG < 1000
elevation in AFP

PMNSGCT Biopsy

VIPX4 Mature Teratoma Seminoma

Surgical Resection of BEPx3 or EPx4


HIGH NORMAL
Residual tumor
TM

VIPx4 Surgical Resection

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