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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Pediatric Hematology/Oncology and Immunopathology</journal-id><journal-title-group><journal-title xml:lang="en">Pediatric Hematology/Oncology and Immunopathology</journal-title><trans-title-group xml:lang="ru"><trans-title>Вопросы гематологии/онкологии и иммунопатологии в педиатрии</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1726-1708</issn><issn publication-format="electronic">2414-9314</issn><publisher><publisher-name xml:lang="en">Fund Doctors, Innovations, Science for Children</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">430</article-id><article-id pub-id-type="doi">10.24287/1726-1708-2020-19-4-143-149</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>CLINICAL OBSERVATIONS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">А сlinical case report of mediastinal teratoma in an adolescent patient with Klinefelter syndrome</article-title><trans-title-group xml:lang="ru"><trans-title>Клинический случай медиастинальной тератомы у подростка с синдромом Клайнфельтера</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0262-8515</contrib-id><name-alternatives><name xml:lang="en"><surname>Saliyeva</surname><given-names>S. S.</given-names></name><name xml:lang="ru"><surname>Салиева</surname><given-names>С. С.</given-names></name></name-alternatives><address><country country="KZ">Kazakhstan</country></address><bio xml:lang="en"><p><bold>Symbat S. Saliyeva, </bold>a physician at the Oncology Department №2</p><p>46 Al-Farabi Avenue, Almaty A15E2P4 </p></bio><bio xml:lang="ru"><p><bold>Салиева Сымбат Сарыбаевна</bold>, врач отделения онкологии №2 </p><p>A15E2P4, Алматы, просп. Аль-Фараби, 146</p></bio><email>symbatsaliyeva@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7154-6436</contrib-id><name-alternatives><name xml:lang="en"><surname>Boranbayeva</surname><given-names>R. Z.</given-names></name><name xml:lang="ru"><surname>Боранбаева</surname><given-names>Р. З.</given-names></name></name-alternatives><address><country country="KZ">Kazakhstan</country></address><bio xml:lang="en"><p>Almaty</p></bio><bio xml:lang="ru"><p>Алматы</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0882-7323</contrib-id><name-alternatives><name xml:lang="en"><surname>Zhumadullayev</surname><given-names>B. M.</given-names></name><name xml:lang="ru"><surname>Жумадуллаев</surname><given-names>Б. М.</given-names></name></name-alternatives><address><country country="KZ">Kazakhstan</country></address><bio xml:lang="en"><p>Almaty</p></bio><bio xml:lang="ru"><p>Алматы</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5735-4032</contrib-id><name-alternatives><name xml:lang="en"><surname>Khairov</surname><given-names>K. E.</given-names></name><name xml:lang="ru"><surname>Хаиров</surname><given-names>К. Э.</given-names></name></name-alternatives><address><country country="KZ">Kazakhstan</country></address><bio xml:lang="en"><p>Almaty</p></bio><bio xml:lang="ru"><p>Алматы</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1263-249X</contrib-id><name-alternatives><name xml:lang="en"><surname>Krivenko</surname><given-names>E. V.</given-names></name><name xml:lang="ru"><surname>Кривенко</surname><given-names>Е. В.</given-names></name></name-alternatives><address><country country="KZ">Kazakhstan</country></address><bio xml:lang="en"><p>Almaty</p></bio><bio xml:lang="ru"><p>Алматы</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2725-9920</contrib-id><name-alternatives><name xml:lang="en"><surname>Tainekova</surname><given-names>A. Sh.</given-names></name><name xml:lang="ru"><surname>Тайнекова</surname><given-names>А. Ш.</given-names></name></name-alternatives><address><country country="KZ">Kazakhstan</country></address><bio xml:lang="en"><p>Almaty</p></bio><bio xml:lang="ru"><p>Алматы</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3595-5574</contrib-id><name-alternatives><name xml:lang="en"><surname>Bekisheva</surname><given-names>A. N.</given-names></name><name xml:lang="ru"><surname>Бекишева</surname><given-names>А. Н.</given-names></name></name-alternatives><address><country country="KZ">Kazakhstan</country></address><bio xml:lang="en"><p>Almaty</p></bio><bio xml:lang="ru"><p>Алматы</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6889-0749</contrib-id><name-alternatives><name xml:lang="en"><surname>Karazhanova</surname><given-names>M. K.</given-names></name><name xml:lang="ru"><surname>Каражанова</surname><given-names>М. К.</given-names></name></name-alternatives><address><country country="KZ">Kazakhstan</country></address><bio xml:lang="en"><p>Almaty</p></bio><bio xml:lang="ru"><p>Алматы</p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Scientific Center of Pediatrics and Pediatric Surgery</institution></aff><aff><institution xml:lang="ru">АО «Научный центр педиатрии и детской хирургии»</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2020-12-08" publication-format="electronic"><day>08</day><month>12</month><year>2020</year></pub-date><volume>19</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>143</fpage><lpage>149</lpage><history><date date-type="received" iso-8601-date="2020-12-21"><day>21</day><month>12</month><year>2020</year></date><date date-type="accepted" iso-8601-date="2020-12-21"><day>21</day><month>12</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, «D. Rogachev NMRCPHOI»</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, ФГБУ «НМИЦ ДГОИ им. Дмитрия Рогачева» Минздрава России</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">«D. Rogachev NMRCPHOI»</copyright-holder><copyright-holder xml:lang="ru">ФГБУ «НМИЦ ДГОИ им. Дмитрия Рогачева» Минздрава России</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://hemoncim.com/jour/article/view/430">https://hemoncim.com/jour/article/view/430</self-uri><abstract xml:lang="en"><p>Teratoma is a germ cell tumor, which consists of derivatives of three germ layers and has various malignant potentials – from benign mature forms to immature embryonic forms with a somatic type of malignancy. Even the mature type of teratoma is biologically unpredictable providing for an ability to grow locally with invasion. Necessity for complete removal of tumors, wherever they are located, is explained by the fact that there is a risk of a possible development of growing teratoma syndrome or transformation into malignant tumors. This article describes the clinical case of growing teratoma syndrome of mediastinal localization in a teenager with Klinefelter syndrome, also as an example of the multidisciplinary approach of pediatric oncologists, surgeons, radiotherapists and pathomorphologists in decision-making for optimal treatment. The patients' parents gave their consent to the use of their child's data, including photographs, for research purposes and in publications.</p></abstract><trans-abstract xml:lang="ru"><p>Тератома – герминогенноклеточная опухоль, которая состоит из производных 3 зародышевых листков и имеет различный злокачественный потенциал – от доброкачественных зрелых форм до незрелых эмбриональных форм с соматическим типом малигнизации. Даже зрелый вариант тератомы биологически непредсказуем с учетом ее способности к локальному росту с инвазией. Необходимость полного удаления опухоли вне зависимости от места расположения объясняется тем, что есть риск возможного развития синдрома растущей тератомы или трансформации ее в злокачественные формы. В данной статье приведено описание клинического случая синдрома растущей тератомы медиастинальной локализации у подростка с синдромом Клайнфельтера, а также представлен пример мультидисциплинарного подхода детских онкологов, хирургов, лучевых диагностов и патоморфологов в выборе оптимального лечения. Родители дали согласие на использование информации, в том числе фотографий ребенка, в научных исследованиях и публикациях.</p></trans-abstract><kwd-group xml:lang="en"><kwd>growing teratoma syndrome</kwd><kwd>mediastinal tumor</kwd><kwd>Klinefelter syndrome</kwd><kwd>germ cell tumors</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>синдром растущей тератомы</kwd><kwd>опухоль средостения</kwd><kwd>синдром Клайнфельтера</kwd><kwd>герминогенноклеточные опухоли</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1. Gobel U., Calaminus G., Engert J., Kaatsch P., Gadner H., Bökkerink J.P., et al. Teratomas in infancy and childhood. Med Pediatr Oncol 1998; 31 (1): 8–15. DOI: 10.1002/(sici)1096-911x(199807)31:1&lt;8::aidmpo2&gt;3.0.co;2-х</mixed-citation><mixed-citation xml:lang="ru">Gobel U., Calaminus G., Engert J., Kaatsch P., Gadner H., Bökkerink J.P., et al. Teratomas in infancy and childhood. Med Pediatr Oncol 1998; 31 (1): 8–15. DOI: 10.1002/(sici)1096-911x(199807)31:1&lt;8::aidmpo2&gt;3.0.co;2-х</mixed-citation></citation-alternatives></ref><ref id="B2"><label>2.</label><citation-alternatives><mixed-citation xml:lang="en">2. Pierce J.L., Frazier A.L., Amatruda J.F. Pediatric Germ Cell Tumors: A Developmental Perspective. Adv Urol 2018; 9059382. DOI: 10.1155/2018/9059382</mixed-citation><mixed-citation xml:lang="ru">Pierce J.L., Frazier A.L., Amatruda J.F. Pediatric Germ Cell Tumors: A Developmental Perspective. Adv Urol 2018; 9059382. DOI: 10.1155/2018/9059382</mixed-citation></citation-alternatives></ref><ref id="B3"><label>3.</label><citation-alternatives><mixed-citation xml:lang="en">3. Имянитов Е.Н. Эпидемиология и биология герминогенных опухолей. Практическая онкология 2006; 7 (1): 1–5.</mixed-citation><mixed-citation xml:lang="ru">Имянитов Е.Н. Эпидемиология и биология герминогенных опухолей. Практическая онкология 2006; 7 (1): 1–5.</mixed-citation></citation-alternatives></ref><ref id="B4"><label>4.</label><citation-alternatives><mixed-citation xml:lang="en">4. Hartmann J.T., Nichols C.R., Droz J.-P., Horwich A., Gerl A., Fossa S.D., et al. Hematologic disorders associated with primary mediastinal nonseminomatous germ cell tumors. J Natl Cancer Inst 2000; 92 (1): 54–61. DOI: 10.1093/jnci/92.1.54</mixed-citation><mixed-citation xml:lang="ru">Hartmann J.T., Nichols C.R., Droz J.-P., Horwich A., Gerl A., Fossa S.D., et al. Hematologic disorders associated with primary mediastinal nonseminomatous germ cell tumors. J Natl Cancer Inst 2000; 92 (1): 54–61. DOI: 10.1093/jnci/92.1.54</mixed-citation></citation-alternatives></ref><ref id="B5"><label>5.</label><citation-alternatives><mixed-citation xml:lang="en">5. Depani S., Stoneham S., Krailo M., Xia C., Nicholson J. Results from the UK Children's Cancer and Leukaemia Group study of extracranial germ cell tumors in children and adolescents (GCIII). Eur J Cancer. 2019; 118: 49–57. DOI: 10.1016/j.ejca.2019.05.001</mixed-citation><mixed-citation xml:lang="ru">Depani S., Stoneham S., Krailo M., Xia C., Nicholson J. Results from the UK Children's Cancer and Leukaemia Group study of extracranial germ cell tumors in children and adolescents (GCIII). Eur J Cancer. 2019; 118: 49–57. DOI: 10.1016/j.ejca.2019.05.001</mixed-citation></citation-alternatives></ref><ref id="B6"><label>6.</label><citation-alternatives><mixed-citation xml:lang="en">6. Kakkar А., Kaur K., Verma A. Pediatric mediastinal germ cell tumors. Mediastinum 2019; 3: 30. DOI: 10.21037/med.2019.07.02</mixed-citation><mixed-citation xml:lang="ru">Kakkar А., Kaur K., Verma A. Pediatric mediastinal germ cell tumors. Mediastinum 2019; 3: 30. DOI: 10.21037/med.2019.07.02</mixed-citation></citation-alternatives></ref><ref id="B7"><label>7.</label><citation-alternatives><mixed-citation xml:lang="en">7. Ussey K.J., Lawce H.J., Olson S.B., Arthur D.C., Kalousek D.K., Krailo M., et al. Chromosome abnormalities of eighty-one pediatric germ cell tumors: sex-, age-, site-, and histopathology-related differences: a Children's Cancer Group study. Genes Chromosomes Cancer 1999; 25: 134–46.</mixed-citation><mixed-citation xml:lang="ru">Ussey K.J., Lawce H.J., Olson S.B., Arthur D.C., Kalousek D.K., Krailo M., et al. Chromosome abnormalities of eighty-one pediatric germ cell tumors: sex-, age-, site-, and histopathology-related differences: a Children's Cancer Group study. Genes Chromosomes Cancer 1999; 25: 134–46.</mixed-citation></citation-alternatives></ref><ref id="B8"><label>8.</label><citation-alternatives><mixed-citation xml:lang="en">8. Schneider D.T., Schuster A.E., Fritsch M.K., Calaminus G., Gobel U., Harms D., et al. Genetic analysis of mediastinal nonseminomatous germ cell tumors in children and adolescents. Genes Chromosomes Cancer 2002; 34: 115–25.</mixed-citation><mixed-citation xml:lang="ru">Schneider D.T., Schuster A.E., Fritsch M.K., Calaminus G., Gobel U., Harms D., et al. Genetic analysis of mediastinal nonseminomatous germ cell tumors in children and adolescents. Genes Chromosomes Cancer 2002; 34: 115–25.</mixed-citation></citation-alternatives></ref><ref id="B9"><label>9.</label><citation-alternatives><mixed-citation xml:lang="en">9. Schneider D.T., Schuster A.E., Fritsch M.K., Calaminus G., Harms D., Göbel U., Perlman E.J. Genetic analysis of childhood germ cell tumors with comparative genomic hybridization. Klin Padiatr 2001; 213 (4): 204–11. DOI: 10.1055/s-2001-16852</mixed-citation><mixed-citation xml:lang="ru">Schneider D.T., Schuster A.E., Fritsch M.K., Calaminus G., Harms D., Göbel U., Perlman E.J. Genetic analysis of childhood germ cell tumors with comparative genomic hybridization. Klin Padiatr 2001; 213 (4): 204–11. DOI: 10.1055/s-2001-16852</mixed-citation></citation-alternatives></ref><ref id="B10"><label>10.</label><citation-alternatives><mixed-citation xml:lang="en">10. Nichols C.R., Heerema N.A., Palmer C., Loehrer P.J. Sr, Williams S.D., Einhorn L.H., et al. Klinefelter's syndrome associated with mediastinal germ cell neoplasms. J Clin Oncol 1987; 5 (8): 1290–4. DOI: 10.1200/JCO.1987.5.8.1290</mixed-citation><mixed-citation xml:lang="ru">Nichols C.R., Heerema N.A., Palmer C., Loehrer P.J. Sr, Williams S.D., Einhorn L.H., et al. Klinefelter's syndrome associated with mediastinal germ cell neoplasms. J Clin Oncol 1987; 5 (8): 1290–4. DOI: 10.1200/JCO.1987.5.8.1290</mixed-citation></citation-alternatives></ref><ref id="B11"><label>11.</label><citation-alternatives><mixed-citation xml:lang="en">11. Nielsen J., Wohlert M. Sex chromosome abnormalities found among 34,910 newborn children: results from a 13-year incidence study in Arhus, Denmark. Hum Genet 1991; 87 (4): 81–3.</mixed-citation><mixed-citation xml:lang="ru">Nielsen J., Wohlert M. Sex chromosome abnormalities found among 34,910 newborn children: results from a 13-year incidence study in Arhus, Denmark. Hum Genet 1991; 87 (4): 81–3.</mixed-citation></citation-alternatives></ref><ref id="B12"><label>12.</label><citation-alternatives><mixed-citation xml:lang="en">12. Crawford D., Dearmun A. Klinfelter syndrome. Nurs Child Young People 2017; 29 (6): 19. DOI.10.7748/ncyp.29.6.19.s21</mixed-citation><mixed-citation xml:lang="ru">Crawford D., Dearmun A. Klinfelter syndrome. Nurs Child Young People 2017; 29 (6): 19. DOI.10.7748/ncyp.29.6.19.s21</mixed-citation></citation-alternatives></ref><ref id="B13"><label>13.</label><citation-alternatives><mixed-citation xml:lang="en">13. Lanfranco F., Kamischke A., Zitzmann M., Nieschlag E. Klinfelter`s syndrome. Lancet. 2004; 364 (9430): 273–83. DOI: 10.1016/S0140-6736(04)16678-6</mixed-citation><mixed-citation xml:lang="ru">Lanfranco F., Kamischke A., Zitzmann M., Nieschlag E. Klinfelter`s syndrome. Lancet. 2004; 364 (9430): 273–83. DOI: 10.1016/S0140-6736(04)16678-6</mixed-citation></citation-alternatives></ref><ref id="B14"><label>14.</label><citation-alternatives><mixed-citation xml:lang="en">14. Williams L.A., Pankratz N., Lane J., Krailo M., Roesler M., Richardson M., еt al. Klinefelter Syndrome in Males With Germ Cell Tumors: A Report from the Children’s Oncology GroupKlinefelter Syndrome in Males With Germ Cell Tumors: A Report from the Children’s Oncology Group. Cancer 2018; 124 (9): 3900–8. DOI: 10.1002/cncr.31667</mixed-citation><mixed-citation xml:lang="ru">Williams L.A., Pankratz N., Lane J., Krailo M., Roesler M., Richardson M., еt al. Klinefelter Syndrome in Males With Germ Cell Tumors: A Report from the Children’s Oncology GroupKlinefelter Syndrome in Males With Germ Cell Tumors: A Report from the Children’s Oncology Group. Cancer 2018; 124 (9): 3900–8. DOI: 10.1002/cncr.31667</mixed-citation></citation-alternatives></ref><ref id="B15"><label>15.</label><citation-alternatives><mixed-citation xml:lang="en">15. Swerdlow A.J., Schoemaker M.J., Higgins С.D., Wright A.F., Jacobs P.A. Cancer incidence and mortality in men with Klnefelter syndrome: a cohort study. J Natl Cancer Inst 2005; 97 (16): 1204–10. DOI: 10.1093/jnci/dji240</mixed-citation><mixed-citation xml:lang="ru">Swerdlow A.J., Schoemaker M.J., Higgins С.D., Wright A.F., Jacobs P.A. Cancer incidence and mortality in men with Klnefelter syndrome: a cohort study. J Natl Cancer Inst 2005; 97 (16): 1204–10. DOI: 10.1093/jnci/dji240</mixed-citation></citation-alternatives></ref><ref id="B16"><label>16.</label><citation-alternatives><mixed-citation xml:lang="en">16. Hartmann J.T., Nichols C.R., Droz J.-P., Horwich A., Gerl A., Fossa S.D., et al. Hematologic disorders associated with primary mediastinal nonseminomatous germ cell tumors. J Natl Cancer Inst 2000; 92: 54–61. DOI: 10.1093/jnci/92.1.54</mixed-citation><mixed-citation xml:lang="ru">Hartmann J.T., Nichols C.R., Droz J.-P., Horwich A., Gerl A., Fossa S.D., et al. Hematologic disorders associated with primary mediastinal nonseminomatous germ cell tumors. J Natl Cancer Inst 2000; 92: 54–61. DOI: 10.1093/jnci/92.1.54</mixed-citation></citation-alternatives></ref><ref id="B17"><label>17.</label><citation-alternatives><mixed-citation xml:lang="en">17. Sudour-Bonnange H., Faure-Conter C., Martelli H., Hameury F., Fresneau B., Orbach D., Vérité C., et al. Primary mediastinal and retroperitoneal malignant germ cell tumors in children and adolescents: results of the TGM95 trial, a study of the French Society of Pediatric Oncology (Société Française des Cancers de l’Enfant). Pediatr Blood Cancer 2017; 64: e26494. DOI: 10.1002/pbc.26494</mixed-citation><mixed-citation xml:lang="ru">Sudour-Bonnange H., Faure-Conter C., Martelli H., Hameury F., Fresneau B., Orbach D., Vérité C., et al. Primary mediastinal and retroperitoneal malignant germ cell tumors in children and adolescents: results of the TGM95 trial, a study of the French Society of Pediatric Oncology (Société Française des Cancers de l’Enfant). Pediatr Blood Cancer 2017; 64: e26494. DOI: 10.1002/pbc.26494</mixed-citation></citation-alternatives></ref><ref id="B18"><label>18.</label><citation-alternatives><mixed-citation xml:lang="en">18. Billmire D., Vinocur C., Rescorla F., Colombani P., Cushing B., Hawkins E., et al. Malignant mediastinal germ cell tumors: an intergroup study. J Pediatr Surg 2001; 36 (1): 18–24. DOI: 10.1053/jpsu.2001.19995</mixed-citation><mixed-citation xml:lang="ru">Billmire D., Vinocur C., Rescorla F., Colombani P., Cushing B., Hawkins E., et al. Malignant mediastinal germ cell tumors: an intergroup study. J Pediatr Surg 2001; 36 (1): 18–24. DOI: 10.1053/jpsu.2001.19995</mixed-citation></citation-alternatives></ref><ref id="B19"><label>19.</label><citation-alternatives><mixed-citation xml:lang="en">19. Maese L., Li K.D., Xu X., Afify Z., Paxton C.N., Putnam A. Acute leukemia and concurrent mediastinal germ cell tumor: case report and literature review. Fetal pediatr Pathol 2017; 36 (2): 168–76. DOI: 10.1080/15513815.2016.1273983</mixed-citation><mixed-citation xml:lang="ru">Maese L., Li K.D., Xu X., Afify Z., Paxton C.N., Putnam A. Acute leukemia and concurrent mediastinal germ cell tumor: case report and literature review. Fetal pediatr Pathol 2017; 36 (2): 168–76. DOI: 10.1080/15513815.2016.1273983</mixed-citation></citation-alternatives></ref><ref id="B20"><label>20.</label><citation-alternatives><mixed-citation xml:lang="en">20. Sowithayasakul P., Sinlapamongkolkul P., Treetipsatit J., Vathana N., Narkbunnam N., Sanpakit K., Buaboonnam, J. Hematologic Malignancies Associated With Mediastinal Germ Cell Tumors. J Pediatr Hematol Oncol 2018; 40 (6): 450–55 DOI: 10.1097/mph.0000000000001233</mixed-citation><mixed-citation xml:lang="ru">Sowithayasakul P., Sinlapamongkolkul P., Treetipsatit J., Vathana N., Narkbunnam N., Sanpakit K., Buaboonnam, J. Hematologic Malignancies Associated With Mediastinal Germ Cell Tumors. J Pediatr Hematol Oncol 2018; 40 (6): 450–55 DOI: 10.1097/mph.0000000000001233</mixed-citation></citation-alternatives></ref><ref id="B21"><label>21.</label><citation-alternatives><mixed-citation xml:lang="en">21. Литвинова Т.М., Конопля Н.Е., Корень Т.А., Косенко А.А., Шелкович С.Е. Герминоклеточные опухоли у детей и подростков. Учебно-методическое пособие. Минск: БГМУ; 2019. 44 с.</mixed-citation><mixed-citation xml:lang="ru">Литвинова Т.М., Конопля Н.Е., Корень Т.А., Косенко А.А., Шелкович С.Е. Герминоклеточные опухоли у детей и подростков. Учебно-методическое пособие. Минск: БГМУ; 2019. 44 с.</mixed-citation></citation-alternatives></ref></ref-list></back></article>
