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Table 2 distribution within the pT1b group (tumor size ≥3 cm) of classically defined high risk features in stage I seminoma (RTI and tumor size > 4 cm – Fig. 2 a) and b), respectively), that are not formally part of the staging criteria, but are frequently used to guide clinical decision regarding surveillance vs adjuvant treatment

From: Clinical implications of the American Joint Committee on Cancer (AJCC) 8th edition update in seminoma pT1 subclassification

pT1b (tumor size ≥3 cm)

Variables

Tumor size ≤4 cm

Tumor size > 4 cm

Total

No RTI

4 (18.2%)

(lower risk category)

6 (27.3%)

10

RTI

7 (31.8%)

5 (22.7%)a

(higher risk category)

12

Total

11

11

22b

  1. Abbreviation: RTI Rete testis invasion.
  2. a the patient that recurred in the pT1b group had RTI plus tumor size > 4 cm, thus within the higher risk category.
  3. b Data missing in 7 patients