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Testicular Cancer Treatment (PDQ®): Treatment - Health Professional Information [NCI] - Stage Information for Testicular Cancer

Table 2. Regional Lymph Nodes (N)a

a Reprinted with permission from AJCC: Testis. In: Edge SB, Byrd DR, Compton CC, et al., eds.: AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer, 2010, pp 469-78.
Clinical
NXRegional lymph nodes cannot be assessed.
N0No regional lymph node metastasis.
N1Metastasis with a lymph node mass ≤2 cm in greatest dimension; or multiple lymph nodes, none >2 cm in greatest dimension.
N2Metastasis with a lymph node mass >2 cm but not >5 cm in greatest dimension; or multiple lymph nodes, any one mass >2 cm but not >5 cm in greatest dimension.
N3Metastasis with a lymph node mass >5 cm in greatest dimension.
Pathologic (pN)
pNXRegional lymph nodes cannot be assessed.
pN0No regional lymph node metastasis.
pN1Metastasis with a lymph node mass ≤2 cm in greatest dimension and ≤5 nodes positive, none >2 cm in greatest dimension.
pN2Metastasis with a lymph node mass >2 cm but not >5 cm in greatest dimension; or >5 nodes positive, none >5 cm; or evidence of extranodal extension of tumor.
pN3Metastasis with a lymph node mass >5 cm in greatest dimension.

Table 3. Distant Metastasis (M)a

a Reprinted with permission from AJCC: Testis. In: Edge SB, Byrd DR, Compton CC, et al., eds.: AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer, 2010, pp 469-78.
M0No distant metastasis.
M1Distant metastasis.
M1aNonregional nodal or pulmonary metastasis.
M1bDistant metastasis other than to nonregional lymph nodes and lung.

Table 4. Anatomic Stage/Prognostic Groupsa

GroupTNMS (Serum Tumor Markers)
a Reprinted with permission from AJCC: Testis. In: Edge SB, Byrd DR, Compton CC, et al., eds.: AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer, 2010, pp 469-78.
0pTisN0M0S0
IpT1–4N0M0SX
IApT1N0M0S0
IBpT2N0M0S0
pT3N0M0S0
pT4N0M0S0
ISAny pT/TxN0M0S1–3
IIAny pT/TxN1–3M0SX
IIAAny pT/TxN1M0S0
Any pT/TxN1M0S1
IIBAny pT/TxN2M0S0
Any pT/TxN2M0S1
IICAny pT/TxN3M0S0
Any pT/TxN3M0S1
IIIAny pT/TxAny NM1SX
IIIAAny pT/TxAny NM1aS0
Any pT/TxAny NM1aS1
IIIBAny pT/TxN1–3M0S2
Any pT/TxAny NM1aS2
IIICAny pT/TxN1–3M0S3
Any pT/TxAny NM1aS3
Any pT/TxAny NM1bAny S
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