A 30-year-old man presented with a swelling in the testis and an ultrasound scan confirmed the presence of a malignant mass. Following orchidectomy, he was found to have a 40-mm seminomatous germ cell tumour without non-seminomatous components. There was evidence of vascular invasion within the testis.Investigations: serum lactate dehydrogenase (LDH) 1250 U/L (10 250) serum -fetoprotein normal serum -human chorionic gonadotrophin (HCG) 700 U/L (

good prognosis because of the raised HCG and LDH

good prognosis because of the absence of liver, bone and brain metastases

intermediate prognosis because of the presence of lung metastases

intermediate prognosis because of the raised serum HCG and LDH

poor prognosis because of the raised serum HCG and LDH

A 30-year-old man presented with a swelling in the testis and an ultra

1.	A 30-year-old man presented with a swelling in the testis and an ultrasound scan confirmed the presence of a malignant mass. Following orchidectomy, he was found to have a 40-mm seminomatous germ cell tumour without non-seminomatous components. There was evidence of vascular invasion within the testis.Investigations: serum lactate dehydrogenase (LDH) 1250 U/L (10 250) serum -fetoprotein normal serum -human chorionic gonadotrophin (HCG) 700 U/L (
A.	good prognosis because of the absence of liver, bone and brain metastases
B.	good prognosis because of the raised HCG and LDH
C.	intermediate prognosis because of the presence of lung metastases
D.	intermediate prognosis because of the raised serum HCG and LDH
E.	poor prognosis because of the raised serum HCG and LDH
Answer» B. good prognosis because of the raised HCG and LDH

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