Testicular cancer

Question 1

pTX

Answer 1

Primary tumour can not be assessed

Question 2

pT0

Answer 2

No evidence of primary tumour

Question 3

pTIS

Answer 3

Intratubular germ cell neoplasia (carcinoma in situ)

Question 4

pT1

Answer 4

Tumour limited to testis and epididymis without vascular/lymphatic invasion. Tumour may invade tunica albuginea but not tunica vaginalis

Question 5

pT2

Answer 5

Tumour limited to testis and epididymis with vascular/lymphatic invasion, or tumour extending through tunica albuginea with involvement of tunica vaginalis

Question 6

pT3

Answer 6

Tumour invades spermatic cord with or without vascular/lymphatic invasion

Question 7

pT4

Answer 7

Tumour invades scrotum with or without vascular/lymphatic invasion

Question 8

NX

Answer 8

Regional lymph nodes cannot be assessed

Question 9

N0

Answer 9

No regional lymph node metastasis

Question 10

N1

Answer 10

Metastasis with a lymp node mass 2 cm or less in greatest dimension or multiple lymph nodes, none more than 2 cm in greatest dimension

Question 11

N2

Answer 11

Metastasis with a lymph node mass more than 2 cm but not more than 5 cm in greatest dimension; or more than 5 nodes positive, none more than 5 cm; or evidence of extranodal extension of tumour

Question 12

N3

Answer 12

Metastasis with a lymph node mass more than 5 cm in greatest dimension

Question 13

MX

Answer 13

Distant metastasis cannot be assessed

Question 14

M0

Answer 14

No distant metastasis

Question 15

M1

Answer 15

Distant metastasis

Question 16

M1a

Answer 16

Non-regional lymph node(s) or lung metastasis

Question 17

M1b

Answer 17

Distant metastasis other than non-regional lymph nodes and lung metastasis

Question 18

SX

Answer 18

Serum marker studies not available or not performed

Question 19

S0

Answer 19

Serum marker study levels within normal limits

Question 20

S1

Answer 20

LDH <1,5xN
and
hCG < 5 000
and 
AFP < 1 000

Question 21

S2

Answer 21

LDH 1,5-10xN
or
hCG  5 000-50 000
or
AFP 1 000-10 000

Question 22

S3

Answer 22

LDH >10xN
or
hCG  >50 000
or
AFP >10 000