“…The overall incidence of Klinefelter's syn drome is approximately 1 in 800 males. The incidence of chromatin positive (47,XXY) males with mediastinal germ cell tumors is 7.7% [1]. Besides mediastinal germ cell tumors, other tumors include pros tatic and lung carcinoma, breast cancer, reticulum cell sarcoma, chronic and acute myelogenous leukemia, and acute lymphoblastic leukemia.…”