Urology>>>>>Testicular Cancer
Question 3#

In the staging & diagnosis of testicular cancer, which of the following is TRUE?

A. CT thorax, abdomen & pelvis is recommended in all patients
B. Discuss sperm banking in all men after orchidectomy
C. Five-year survival for ‘good prognosis’ seminoma is 96%
D. In the TNM staging classification pN2 means a lymph node mass >5 cm
E. In the TNM staging classification M1b means non-regional lymph node(s) or lung metastasis

Correct Answer is A

Comment:

Answer A

Sperm banking must be discussed in all men before orchidectomy and chemotherapy in cases of delayed orchidectomy due to a significant number of these patients have poor quality semen analysis across the board preoperatively. The five-year survival for good prognosis classical seminoma is 86%. M1a is correct answer as M1b is distant metastases other than non-regional lymph nodes such as brain metastases.