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Hypertestosteronemia and Infertility from a Mediastinal Extragonadal Germ Cell Tumor

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Extragonadal germ cell tumors are tumors of gonadal origin representing less than 5% of germ cell malignancies that form outside gonads. These are typically found in the mediastinum, retroperitoneum, or pineal gland. A 26-year-old man presented to the infertility clinic in January 2016 with a 2-year history of infertility. He had known hypertrophic cardiomyopathy due to MYH7 sarcomere mutation, treated with an...