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Urology Oncology A

IGCCCG Risk Classification — Testicular Cancer

International Germ Cell Cancer Collaborative Group (IGCCCG) risk classification for testicular germ cell tumours.

Score interpretation

Good Prognosis 0–1

Good prognosis: 5-year survival ~91% (NSGCT) or ~86% (seminoma)

→ BEP ×3 cycles or EP ×4 cycles (NSGCT); carboplatin × 1–2 cycles or RT (seminoma stage I–IIA); oncology referral

Intermediate Prognosis 2–4

Intermediate prognosis: 5-year survival ~79%

→ BEP ×4 cycles; consider VIP if PEB contraindicated; oncology referral

Poor Prognosis 5–20

Poor prognosis: 5-year survival ~48–56%

→ BEP ×4 cycles; consider clinical trial; close follow-up with markers; specialist centre referral

Interpretation bands for the IGCCCG Testis. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.