Case report highlights the rarity and challenges of diagnosing metastatic germ cell tumours, indicating poor prognosis.
A previously healthy teenager presented with acute respiratory distress and constitutional symptoms. Imaging revealed a mediastinal mass with multiple pulmonary nodules, and markedly elevated β-HCG confirmed metastatic choriocarcinoma. Despite urgent chemotherapy, he succumbed within a week. This case underscores its rarity, diagnostic challenge, and dismal prognosis in tuberculosis-endemic regions.
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Zhong Xhen Khor (2025) studied this question.
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