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   ocr: PRIMARY TUMOR DISTANT METASTASES pTx Primary tumor cannot be assessed (if no radical orchiectomy MO No evidence of distant metastases has been performed, Tx is used) Ml Nonregional nodal or pulmonary metastases pTO No evidence of primary tumnor (e.g., histologic scar in testis) M2 Nonpulmonary visceral metastases pTis Intratubular germ cell neoplasia (carcinoma in situ) PT1 Tumor imited to the testis and epididymis and no vascu- SERUM IUMOR MAKKERS lar-lymphatic invasion; tumor may invade into the tunica albuginea but not the tunica vaginalis LDH* hCG (m/U/mL) AFP (ng/mL) PT2 Tumor limited Lo ...