in the staging of testicular germ cell tumours

Question Number 1541

Question:
in the staging of testicular germ cell tumours

a) lymphadenopathy from a right sided testicular tumour is likely to be confined to the right para-aortic region
b) the detection of para-aortic lymphadenopathy with cystic degeneration is commoner with seminomas than with non-seminomas
c) in the staging process a CT of the thorax should be performed using contiguous scaning technique
d) in the Royal Marsden staging classification the SIZE of any mediastinal lymph node metastases is significant
e) may result in enlargement of the 'echelon' lymph nodes


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