Sperm storage

Sperm count and storage should be considered at an early stage where patients are likely to require further therapy. It should be remembered

Table 22.7 RMH staging

1

No evidence of disease outside the testis

1M

As above but with persistently raised tumour markers

11

Infradiaphragmatic nodal involvement

11A

Maximum diameter <2 cm

11B

Maximum diameter 2-5 cm

11C

Maximum diameter 5-10 cm

11D(*)

Maximum diameter >10 cm

III

Supra-and infradiaphragmatic node involvement

Abdominal nodes a, b, c, as above

Mediastinal nodes M +

Neck nodes N +

IV

Extralymphatic metastases

Abdominal nodes a, b, c, as above

Mediastinal or neck nodes as for Stage III

Lungs:

— L1<3 metastases

— L2 multiple metastases <2 cm in diameter

—L3 multiple metastases >2 cm in diameter

Liver involvement H +

Other sites specified

* The Stage IID category was formulated at the 1989 Seminoma Consensus Conference

that up to 50% of patients with testicular germ cell tumour may be subfertile at presentation.

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