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Tumor Size (cm)
Tumor Size of Additional Tumor Nodules (cm)
Pathologic Staging (pTNM)
TNM Descriptors (select all that apply)
# Subclassification of pT1 applies only to pure seminoma
+ Serum Tumor Markers
+ Additional Pathologic Findings (select all that apply
+ Modified Royal Marsden Staging System (for patients with seminoma)
Some studies suggest that the staging of patients with seminoma by the TNM system is less meaningful
therapeutically than staging by a modification of the Royal Marsden method. This protocol therefore encourages the use of the TNM system with optional use of
the modified Royal Marsden staging system for patients with seminoma."