Table 1. Indications and contraindications for pulmonary metastasectomy in GCT patients.

Indications	Contraindications
Completion of cisplatin-based chemotherapy + stabilization of tumor markers with residual thoracic disease	Rapidly progressive disease with increasing tumor marker levels
Lack of disease response or only partial response to standard chemotherapy	Clinical status prohibiting surgery
Need for identification of tumor histology (i.e., viable tumor vs. necrosis/fibrosis)
Palliation of rapidly enlarging mass

GCT: germ cell tumors