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Specimen Laterality

Right Left Not specified

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Tumor Focality

Unifocal Multifocal Cannot be determined

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Tumor Size (cm)

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Histologic Type

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Tumor Extent

No evidence of primary tumor Germ cell neoplasia in situ only Tumor limited to testis Tumor invades rete testis Tumor invades hilar soft tissue Tumor invades epididymis Tumor invades through tunica albug. and perforates tunica vag. Tumor invades spermatic cord Tumor invades scrotum Tumor invades other structures Cannot be assessed

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Lymphovascular Invasion

Not identified Present Cannot be determined

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Margins

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Regional Lymph Nodes

Check here if any lymph nodes submitted?

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Distant Site(s) Involved, if applicable

Not applicable Non-retroperitoneal lymph node(s) Lung Other organs Cannot be determined

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Pathologic Staging (pTNM)

TNM Descriptors (select all that apply)

Not applicable m r y

pT

pT not assigned pT0: No evidence of primary tumor pTis: Germ cell neoplasia in situ pT1: Tumor limited to testis (including rete testis invasion) without lymphovascular invasion pT1 (subcategory cannot be determined) pT1a: Pure seminoma (< 3 cm) limited to testis (including rete testis invasion) without lymphovascular invasion pT1b: Pure seminoma (≥ 3 cm) limited to testis (including rete testis invasion) without lymphovascular invasion pT2: Tumor limited to testis (including rete testis invasion) with lymphovascular invasion OR Tumor invading hilar soft tissue or epididymis or penetrating visceral mesothelial layer covering the external surface of tunica albuginea with or without lymphovascular invasion pT3: Tumor directly invades spermatic cord soft tissue with or without lymphovascular invasion pT4: Tumor invades scrotum with or without lymphovascular invasion

pN

pN not assigned (no nodes submitted) pN not assigned (cannot be determined) pN0: No regional lymph node metastasis pN1: Metastasis with a lymph node mass 2 cm or smaller in greatest dimension and less than or equal to five nodes positive, none larger than 2 cm in greatest dimension pN2: Metastasis with a lymph node mass larger than 2 cm but not larger than 5 cm in greatest dimension; or more than five nodes positive, none larger than 5 cm; or evidence of extranodal extension of tumor pN3: Metastasis with a lymph node mass larger than 5 cm in greatest dimension

pM

pMx: Not applicable pM1a: Nonretroperitoneal nodal or pulmonary metastases pM1b: Nonpulmonary visceral metastases

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+Pre-Orchiectomy Serum Tumor Markers

Unknown Serum marker studies within normal limits Alpha-fetoprotein (AFP) elevation Beta-subunit of human chorionic gonadotropin (b-hCG) elevation Lactate dehydrogenase (LDH) elevation

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+ Serum Tumor Markers

Unknown SX: Serum marker studies not available or performed S0: Serum marker study levels within normal limits S1: LDH <1.5x normal and HCG <5,000 mIU/ml and AFP <1,000 ng/ml S2: LDH 1.5-10x normal or HCG 5,000-50,000 mIU/ml or AFP 1,000-10,000 ng/ml S3: LDH >10x normal or HCG >50,000 mIU/ml or AFP >10,000 ng/ml

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+ Additional Pathologic Findings (select all that apply

None identified Germ cell neoplasia in situ (GCNIS) Microlith Sertoli cell nodule (Pick’s adenoma) Atrophy Other