staging of testicular germ cell tumours

Question Number 1540

Question:
in the staging of testicular germ cell tumours

a) lymphadenopathy from a left sided testicular tumour is likely to be confined to the left para-aortic region
b) early detection of recurrence of seminomas is best detected by imaging rather than tumour marker levels
c) right sided tumours tend to metastasize to lymph nodes both above and below the renal vessels
d) in the Royal Marsden staging classification the SIZE of lung metastases is significant
e) routine use of intravenous contrast is recommended in follow up CT monitoring


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