We read with interest the report of Koppad and colleagues in the Pan African Medical Journal describing a case of bilateral synchronous presentation of spermatocytic seminoma in an elderly Indian male. While we appreciate their efforts in documenting this rare presentation, we disagree with the reported figures as outlined in the report and wish to draw attention of the authors as well as the r...

Multilocular thymic cyst (MTC) and germ cell tumors are common diseases that impact the mediastinum. Correctly diagnosing these can be difficult because several other conditions mimic them. We report a male patient with MTC associated mediastinal seminoma. A needle biopsy of tumor revealed numerous epithelioid granulomas mimicked sarcoidosis or mycobacterial infection. However, large atypical c...