Gurung, SushmaKarim, SabinaThapa, SagunGautam, Shristi2025-10-302025-10-302022https://hdl.handle.net/20.500.14572/2912Sushma Gurung Department of Paediatric Hematology and Oncology, Bhaktapur Cancer Hospital, Dudhpati, Bhaktapur, Nepal Sabina Karim Department of Paediatric Hematology and Oncology, National Institute of Cancer Research and Hospital, Mohakhali, Dhaka, Bangladesh Sagun Thapa Department of Paediatric Hematology and Oncology, Bhaktapur Cancer Hospital, Dudhpati, Bhakatapur, Nepal Shristi Gautam Department of Paediatric Hematology and Oncology, Bhaktapur Cancer Hospital, Dudhpati, Bhakatapur, NepalAbstract Extragonadal 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.en-USGerm cell tumorImmunohistochemistryTumor markersOther