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Testicular Cancer Treatment (PDQ®): Treatment - Patient Information [NCI] - Stages of Testicular Cancer

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Pea, peanut, walnut, and lime show tumor sizes.

Stage II

Stage II is divided into stage IIA, stage IIB, and stage IIC and is determined after a radical inguinal orchiectomy is done.

  • In stage IIA, cancer:
    • is anywhere within the testicle, spermatic cord, or scrotum; and
    • has spread to up to 5 lymph nodes in the abdomen, none larger than 2 centimeters.
    All tumor marker levels are normal or slightly above normal.
  • In stage IIB, cancer is anywhere within the testicle, spermatic cord, or scrotum; and either:
    • has spread to up to 5 lymph nodes in the abdomen; at least one of the lymph nodes is larger than 2 centimeters, but none are larger than 5 centimeters; or
    • has spread to more than 5 lymph nodes; the lymph nodes are not larger than 5 centimeters.
    All tumor marker levels are normal or slightly above normal.
  • In stage IIC, cancer:
    • is anywhere within the testicle, spermatic cord, or scrotum; and
    • has spread to a lymph node in the abdomen that is larger than 5 centimeters.
    All tumor marker levels are normal or slightly above normal.

Stage III

Stage III is divided into stage IIIA, stage IIIB, and stage IIIC and is determined after a radical inguinal orchiectomy is done.

  • In stage IIIA, cancer:
    • is anywhere within the testicle, spermatic cord, or scrotum; and
    • may have spread to one or more lymph nodes in the abdomen; and
    • has spread to distant lymph nodes or to the lungs.
    Tumor marker levels may range from normal to slightly above normal.
  • In stage IIIB, cancer:
    • is anywhere within the testicle, spermatic cord, or scrotum; and
    • may have spread to one or more lymph nodes in the abdomen, to distant lymph nodes, or to the lungs.
    The level of one or more tumor markers is moderately above normal.
  • In stage IIIC, cancer:
    • is anywhere within the testicle, spermatic cord, or scrotum; and
    • may have spread to one or more lymph nodes in the abdomen, to distant lymph nodes, or to the lungs.
    The level of one or more tumor markers is high.

    or

    Cancer:

    • is anywhere within the testicle, spermatic cord, or scrotum; and
    • may have spread to one or more lymph nodes in the abdomen; and
    • has not spread to distant lymph nodes or the lung but has spread to other parts of the body.
    Tumor marker levels may range from normal to high.

This information is produced and provided by the National Cancer Institute (NCI). The information in this topic may have changed since it was written. For the most current information, contact the National Cancer Institute via the Internet web site at http:// cancer .gov or call 1-800-4-CANCER.

WebMD Public Information from the National Cancer Institute

Last Updated: September 04, 2014
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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