PRIMARY SEMINOMA - A RARE MEDIASTINAL TUM OR

This is a report on three patients with primary mediastinal seminoma. Two patients had no symptoms, and one had had thoracic pain for the la st few years. The preoperative diagnosis was thymoma in all cases, and in one patient the radiologist had suspected a seminoma. We removed t he tumor after performing median sternotomy (n = 2) and anterolateral left thoracotomy (n = 1). The presence of a primary gonadal seminoma w as excluded with a urological and ultrasound examination. All patients are still alive following adjuvant chemotherapy (n = 2; 120 and 8 mon ths) and radiotherapy (n = 1; 84 months). Chemotherapy consisted of fo ur cycles of cisplatin, etoposide and ifosfamide or combination therap y with cisplatin, bleomycin and velbe.