Primary mediastinal germ-cell tumors (GCTs) without gonadal involvement are rare and can be divided into benign mature teratoma and malignant seminoma or nonseminoma.
Such involvement of dermal lymphatics gives the grossly thickened, erythematous, and rough skin surface with the appearance of an orange peel ("peau dorange" for you francophiles).
Not untill this time did I realize that such love is not so dolor, for it has no worldly involvement, no long-winded succession, no gingerbready samite, and no muddy water.