Question 2089
{"accessible":false,"alternatives":[{"id":10370,"text":"alpha-fetoprotein and beta HCG levels"},{"id":10371,"text":"bone marrow biopsy"},{"id":10372,"text":"bronchoscopy"},{"id":10374,"text":"CT guided biopsy of anterior mediastinal mass"},{"id":10373,"text":"CT guided biopsy of lung nodule"}],"archived":false,"correctAlternativeId":10370,"explanation":"\u003cp\u003eA heterogeneous mass with lung metastases and rapid onset presentation in a male below 40 is highly suggestive of a non-seminomatous germ cell tumor. Here alpha-fetoprotein and beta HCG levels are often raised and can make the diagnosis.\u003c/p\u003e","id":2089,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2089","nextQuestionPath":null,"relatedArticles":[{"id":911,"title":"Anterior mediastinal mass","link":"/articles/anterior-mediastinal-mass-1?lang=us"},{"id":64153,"title":"Alpha-fetoprotein","link":"/articles/alpha-fetoprotein-1?lang=us"}],"alsoUsedIn":[{"id":1452,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1452","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1452"},{"id":951,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 951","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/951"},{"id":951,"kind":"Course","title":"2021 Virtual Conference Private Use - page 951","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/951"},{"id":951,"kind":"Course","title":"Example Lectures - page 951","link":"https://radiopaedia.org/courses/example-lectures/pages/951"},{"id":951,"kind":"Course","title":"Chest Lectures - page 951","link":"https://radiopaedia.org/courses/chest-lectures/pages/951"}],"stem":"\u003cp\u003eA 25-year-old male presents with a 2-week history of acute breathlessness and chest pain. CT thorax with contrast shows a heterogeneous anterior mediastinal mass and multiple lung nodules. Which is the next best step for diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2089"}],"attemptsPercentages":[{"alternativeId":"10373","percentage":2},{"alternativeId":"10374","percentage":24},{"alternativeId":"10372","percentage":1},{"alternativeId":"10370","percentage":71},{"alternativeId":"10371","percentage":2}],"promptToLogin":false,"questionManager":false,"articleId":"anterior-mediastinal-germ-cell-tumors"}