Table 1 Risk stratification for metastatic seminoma and non-seminoma

Good

Any hCG

AFP < 1000 ng/ml

hCG < 5000 mU/ml

LDH < 1.5 × ULN

Any LDH

Non-pulmonary visceral metastases absent

Gonadal or retroperitoneal primary tumor

Intermediate

Any hCG

AFP 1000–10,000 ng/ml

Any LDH

hCG 5000–50,000 mU/ml

LDH 1.5–10 × ULN

Any primary site

Non-pulmonary visceral metastases absent

Non-pulmonary visceral metastases absent

Gonadal or retroperitoneal primary tumor

Poor

None

AFP > 10,000 ng/ml

hCG > 50,000 mU/ml

LDH > 10 × ULN

Mediastinal primary site

Non-pulmonary visceral metastases present