A 27-year-old man presents with a left testicular tumor with a 10 cm retroperitoneal lymph node mass. The treatment of choice is -: (A) Radiotherapy, (B) Immunotherapy with interferon and interleukins, (C) Left high inguinal orchiectomy plus chemotherapy, (D) Chemotherapy alone
Answer is C. This patient has retroperitoneal lymph node mass, hence its stage II. It's more than 5 cm thus its stage He.
Treatment of stages for HC and beyond is the same for both seminomas & nonseminomas i.e.→ chemotherapy after inguinal orchiectomy