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On physical examination, a physician may see signs of congestive heart failure and increased pressure in the chest cavity. Diagnosis is made using the following tests:
- History and physical examination
- CT scans of the chest, abdomen, and pelvis
- Elevated levels of b-HCG and AFP in the blood
- Mediastinoscopy and biopsy -- use of a special scope to look in the mediastinuman (mediastinoscopy) and remove a piece of the tumor (biopsy)
- Anterior mediastinotomy -- open surgery to remove the tumor or part of it
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