Pathologic Staging
CAP Approved Pediatric • Extragonadal Germ Cell Tumor 3.0.0.1
Children’s Oncology Group Staging for any Malignant Extragonadal Germ Cell Tumors
___ Stage I: Complete resection at any site; coccygectomy for
sacrococcygeal site; negative tumor margins; tumor markers
positive or negative
___ Stage II: Microscopic residual; lymph nodes negative; tumor markers
positive or negative
___ Stage III: Gross residual or biopsy only; retroperitoneal nodes negative or
positive; tumor markers positive or negative
___ Stage IV: Distant metastases, including liver