DOI: 10.36347/sjmcr.2016.v04i09.005

Pages: 647-649

Mediastinal nonseminomatous germ cell tumors have a high incidence of hematologic disorders which include acute megakaryocytic leukemia, acute myeloid leukemia, myelodysplasia, malignant mastocytosis and histiocytosis. Most often, these hematologic abmormalities follow the diagnosis of germ cell tumor. We report the case of a 33 year old man with mediastinal germ cell tumor who had associated isolated granulocytic sarcoma also along with the germ cell components. The rarity of this case is the concurrent occurrence of germ cell tumor and granulocytic sarcoma without bone marrow involvement which has been reported only twice before in world literature.