Testicular Cancer Staging (Cont.)

Stage II Testicular Cancer

Stage II testicular cancer is divided into stage IIA, stage IIB, and stage IIC. The stage is determined after a radical inguinal orchiectomy is performed.
 
Stage IIA
In stage IIA:
 
  • The cancer is anywhere within the testicle, spermatic cord, or scrotum
     
  • The cancer has spread to up to 5 lymph nodes in the abdomen, none of which are larger than 2 centimeters
     
  • All tumor marker levels are normal or slightly above normal.
     
Stage IIB
In stage IIB, the cancer is anywhere within the testicle, spermatic cord, or scrotum, and:
 
  • The cancer has spread to up to 5 lymph nodes in the abdomen. At least one of the lymph nodes is larger than 2 centimeters, but none of the lymph nodes are larger than 5 centimeters.

OR 

  • The cancer has spread to more than 5 lymph nodes and the lymph nodes are not larger than 5 centimeters.
     

All tumor markers levels are normal or slightly above normal in stage IIB.

 

Stage IIC
In stage IIC:
 
  • The cancer is anywhere within the testicle, spermatic cord, or scrotum
  • The cancer has spread to a lymph node in the abdomen that is larger than 5 centimeters
  • All tumor marker levels are normal or slightly above normal.
     

Stage III Testicular Cancer

Stage III is divided into stage IIIA, stage IIIB, and stage IIIC. The stage is determined after a radical inguinal orchiectomy is performed.
(Testicular Cancer Staging Continued: Page 5)
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Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD