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Clinical Stage
TX NX M0 Stage Group UNK
TX (According to page 319 of TNM 6th edition, extent of primary tumor is usually classified by radical orchiectomy and a pathologic stage is assigned.)
NX (Physical exam shows palpable abdominal node/CT scan shows enlarged paraortic nodes, no size is given, and there are no diagnostic terms of involvement in the text)
M0 (No distant metastasis noted on CT/CXR)
Pathologic Stage
T3 N2 M0 S1 Stage Group IIB
T3 (Tumor invades spermatic cord)
N2 (Multiple positive LNs, largest dimension 5cm)
M0 (No distant metastasis seen on CT/CXR, per TNM 6th edition can use clinical information for the M category if sufficient tissue was removed to evaluate the highest T and highest N categories.)
S1 (LDH < 1.5 X upper limit normal and hCG (mIu/ml) < 5000 and AFP (ng/ml) < 1000). Per page 317 of TNM 6th edition, for staging, measure tumor markers immediately after orchiectomy and continue serial measurements if elevated.)