Primary Tumor
Regional Lymph Nodes
Have the regional lymph nodes been evaluated by RPLND, CT scan, or other means?
Yes
No
Has neoplasm been found in the regional lymph nodes?
No
Yes, none more than 2cm in greatest dimension
Yes, none more than 5cm in greatest dimension and at least one greater than 2cm
Yes, at least one more than 5cm in greatest dimension
Distant Metastasis
Have the more distant lymph nodes and visceral organs been evaluated by CT scan or other means?
Yes
No
Has neoplasm been found in the more distant lymph nodes or visceral organs?
No
Yes
Yes, distant nodal or pulmonary metastasis
Yes, distant metastasis to areas other than non-regional lymph nodes and lungs
Serum Tumor Markers
Has the blood been tested for serum tumor markers such as LDH, beta-HCG, and AFP?
Yes
No
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Are beta-HCG levels normal?
Yes
No, but less than 5,000 mIu/ml
No, between 5,000 and 50,000 mIu/ml
No, more than 50,000 mIu/ml
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Are LDH levels normal?
Yes
No, but less than 1.5 times normal
No, between 1.5 and 10 times normal
No, more than 10 times normal
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Are AFP levels normal?
Yes
No, but less than 1,000 ng/ml
No, between 1,000 and 10,000 ng/ml
No, more than 10,000 ng/ml
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