Table 2.

Risk stratification system for advanced testicular germ cell tumors.

Risk	Seminomas	Non-seminomatous germ cell tumors
Good	Any primary site	Testicular or retroperitoneal primary tumors
	No non-pulmonary visceral metastases	No non-pulmonary visceral metastases
	Normal serum AFP, any hCG or LDH	Post orchiectomy markers AFP<1000 ng/mL beta-hCG<5000 LDH<1.5 times upper limit of normal
Intermediate	Any primary site	Testicular or retroperitoneal primary tumors
	Non-pulmonary visceral metastases	No non-pulmonary visceral metastases
	Normal serum AFP, any hCG or LDH	Post orchiectomy markers AFP 1000 to 10,000 ng/mL beta-hCG 5000 to 50,000 mIU/mL LDH 1.5 to 10 times upper limit of normal
Poor	No patients classified as poor prognosis	Mediastinal primary Non-pulmonary visceral metastases Post orchiectomy markers AFP>10,000 ng/mL beta-hCG>50,000 LDH>1.5 times upper limit of normal