in the staging of testicular germ cell tumours

Question Number 1543

Question:
in the staging of testicular germ cell tumours

a) a tadpole-shaped nodule behind the aorta is most likely to be a vascular structure
b) assuming all visible retroperitoneal lymph nodes are abnormal resullts in a specificity of over 50%
c) in the staging process an intravenous urogram should be performed routinely
d) in the Royal Marsden staging classification histopathological grading of the primary tumour is required
e) the alpha-feto protein is more likely to be raised in patients with non-seminomas than patients with seminomas

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