“…Malignant germ cell tumours are more frequent in females and usually appear during the first three years of life (Sullivan et al, 1983;Harms and Janig, 1986). The region of the neck and anterior mediastinum is the fourth most frequently affected anatomical site, after the gonads, sacrococcygeal region, and the retroperitoneum (Juckes et al, 1979). The extracranial head and neck locations predominantly affected are the soft tissues of the mid-line or lateral neck, orbit, nasopharynx, mandible, maxilla, and cheek (Sullivan et al, 1983;Shebib et al, 1989;Sue et al, 1990;Dehner et al, 1990).…”