• Sushma Gurung, Sabina Karim, Sagun Thapa, and Shristi Gautam.
• Department of Paediatric Hematology and Oncology, Bhaktapur Cancer Hospital, Dudhpati, Bhaktapur, Nepal.
• JNMA J Nepal Med Assoc. 2022 Dec 1; 60 (256): 105210551052-1055.

UnlabelledExtragonadal germ cell tumours are rare; to the best of our knowledge, a location in the soft tissue of the right scapular region has never been previously reported in the literature. We report a case of a 9-years-old girl who presented with swelling over the right scapular region, treated by a combination of surgery and cisplatin-based chemotherapy. Immunohistochemistry and serum tumour markers concluded it to be an extragonadal mixed germ cell tumour. Our patient had a complete response up to 2 years of follow-up. This case is being reported here due to a very rare site of presentation with a diagnostic dilemma. A multidisciplinary, combining systemic chemotherapy and surgery is the most appropriate treatment strategy for extragonadal germ cell tumours, to ensure both local and systemic control.Keywordsgerm cell tumor; immunohistochemistry; tumor markers.

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