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1. Other imaging studies
2. Histologic findings - Seminomas can have 3 histologic variants, as follows:

Anaplastic seminoma (5-15% of patients)

Classic seminoma (the most common histologic type)

Abdominal and pelvic CT scanning: Can be used to identify metastatic disease to the retroperitoneal lymph nodes, but it results in understaging in approximately 15-20% of patients thought to be at stage I

Chest CT scanning: Indicated only when abnormal findings are observed on a chest radiograph

Spermatocytic seminoma (a rare variant that occurs in older adults)

Fluoro-2-deoxy-D-glucose (FDG) PET scanning: May be useful in restaging assessments of residual masses following chemotherapy