The process of finding out if the cancer has spread beyond the testicle is called staging. By using the accompanying flowcharts, you can determine the TNM Staging. This is how far the cancer has progressed.

• T Staging - The Primary Tumor
• N Staging - Regional(nearby) Lymph Nodes
• M Staging - Distant Metastasis
• S Staging - Serum Tumor Markers

After determining values for TNM and S, you can use the chart above to assign a stage. The stage will be used in deciding the appropriate treatment for the cancer.

If you haven't already done so, first download the free trial version of RFFlow. It will allow you to open any chart and make modifications.

Once RFFlow is installed, you can open the above chart in RFFlow by clicking on testicular-cancer-staging.flo. From there you can zoom in, edit, and print this sample chart. It is often easier to modify an existing chart than to draw it from scratch.

To draw this chart without downloading it, run RFFlow and use the Sample Stencil.