testicular germ cell tumours


Question Number 1539

Question:
in the staging of testicular germ cell tumours

a) seminoma tends to spread to retroperitoneal nodes before mediastinal nodes
b) early detection of recurrence of seminomas is best detected by monitoring the tumour marker levels
c) seminomas are very sensitive to low-dose radiotherapy
d) in the Royal Marsden staging classification the size of liver metastases is significant
e) lymphangiography is recommended as part of the routine initial baseline staging


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