1. DENİZ KAVGACI HALİME HELİN YILMAZ
TESTICULAR TUMORS
DENİZ KAVGACI
HALİME HELİN YILMAZ

32. TNM STAGING
American Joint Committee on Cancer (AJCC) T the extent of spread of the primary tumor to the tissues next to the testicle N number of lymph nodes affected M metastasis +/- S indicates the serum level of tumor markers (specific for certain types of testicular cancers)

33. STAGING OF TESTICULAR CANCER
Stage I: tumor confined to the testis
Stage II: spread to regional lymph nodes
IIA: <2 cm in size or < 6 positive nodes
IIB: 2-5 cm in size or > 6 positive nodes
IIC: large and bulky abdominal mass, usually > 5-10 cm
Stage III: spread beyond retroperitoneal nodes or above diaphragm or visceral disease
Stage IV: hematogenous spread

38. TREATMENT OF SEMINOMAS
 Low grade (stage I and IIA)
Radical inguinal orchiectomy
Surveillance
RT or single agent carboplatin
 High grade (stage >IIA)
RPLND
RT and/or CT

39. NON-SEMINOMATOUS GERM CELL TUMOR
Management of men with NSGCT stage I depends on the presence of factors that present an increased risk of relapse:
- Lymphovascular invasion
- Predominance of an embryonal carcinoma component
- A T3 or T4 primary tumor

40. NSGCT TREATMENT

45. REFERANCES
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