Retroperitoneal LymphadenectomySpecimen Sites: Size of Largest Metastasis:Not applicable Greatest dimension (cm): Prelymphadenectomy Treatment:Chemo/radiation therapy No chemo/radiation therapy Unknown Serum Tumor Markers: Unknown Serum marker studies within normal limits Alpha-fetoprotein (AFP) elevation: U/L (Reference (135-225) U/L) Beta subunit of HCG (b-hCG) elevation: mIU/ml (Reference (<2) mIU/mL) Lactate dehydrogenase (LDH) elevation: U/L (Reference (135-225) U/L) Viability of Tumor:Viable teratoma present Viable non-teratomatous tumor present No viable tumor present Histologic Type of Metastatic Tumor:Seminoma, classic type Seminoma with syncytiotrophoblastic cells Mixed germ cell tumor(specify components and percentages): Embryonal carcinoma Yolk sac tumor Choriocarcinoma, biphasic Choriocarcinoma, monophasic Placental site trophoblastic tumor Mature teratoma Immature teratoma Teratoma with a secondary malignant component(specify type): Monodermal teratoma, carcinoid Monodermal teratoma, primitive neuroectodermal tumor Polyembryoma Diffuse embryoma Spermatocytic seminoma Spermatocytic seminoma with a sarcomatous component Other (specify): Malignant neoplasm, type cannot be determined Previous radiation or chemotherapy (yp) Regional Lymph Nodes (pN):pNX: Cannot be assessed pN0: No regional lymph node metastasis ( 0 / ) pN1: Metastasis with a lymph node mass less than 2 cm in greatest dimension and 5 or fewer positive nodes, none greater than 2 cm in greatest dimension ( / ) pN2: Metastasis with a lymph node mass greater than 2 cm but no more than 5 cm in greatest dimension, or more than 5 nodes positive, none greater than 5 cm; or evidence of extranodal extension of tumor ( / ) pN3: Metastasis in a lymph node greater than 5 cm in greatest dimension ( / ) Nonregional Lymph Node Metastasis (M1a):Not applicable Absent Present