纵隔生殖细胞瘤占纵隔肿瘤和囊肿的 2 0 % ,多见于成年男性 ,而女性原发纵隔生殖细胞瘤临床较罕见 ,现报告 1例。1　病历简介女 ,5 9岁。于 1999年 8月无诱因出现声音嘶哑 ,伴胸闷、气短 ,对症处理后症状无缓解。 X线胸片及胸 CT示上纵隔增宽 ,考虑纵隔肿瘤可能性大。 1999年 1 Mediastinal germ cell tumor accounts for 20% of mediastinal tumors and cysts. It is more common in adult males, and female primary mediastinal germ cell tumors are rare in clinical practice. One case is now reported. 1 medical history profile female, 5 9 years old. In August 1999, there was no hoarseness in the voice, chest tightness, and shortness of breath. Symptomatic treatment did not relieve symptoms. X-ray and thoracic CT showed that the mediastinum was widened and it was considered that there was a high possibility of mediastinal tumors. 1999 1