<prompt> All of the following are good prognostic factors for seminoma testis except?Primarily gonadalPrimarily retroperitonealNonpulmonary visceral metastasesAFP more than 10,000 ngMl  <response>: Ans is c i.e., Nonpulmonary visceral metastasesoPresence of Nonpulmonary visceral metastases is an intermediate prognostic factor. All other are good progsotic factors see the table below.oAny primary site and any level of tumor markers if present with no nonpulmonary visceral metastasis are considerd good prognostic factors.The International Germ Cell Consensus Classification IGCCC prognostic criteria for seminomaGood-prognosis seminoma 90 of seminomas5-year survival 86; 5-year progression-free survival PFS 82. Any primary site. No nonpulmonary visceral metastases. Normal AFP, any hCG. any LDHIntermediate-prognosis seminoma 10 of seminomas 5-year survival 72; 5-year PFS 67. Any primary site. Nonpulmonary visceral metastases. Normal AFP, any hCG, any LDHPoor prognosis. No seminoma patients are classified as poor prognosisThe International Germ Cell Consensus Classification IGCCC prognostic criteria for seminomaGood-prognosis nonseminoma 56 to 61 of nonseminomas5-year survival 92; 5-year progression-free survival PFS 89. Testisretroperitoneal primary7. No nonpulmonary visceral metastases. Good serum tumor marker levels:-. Alpha-fetoprotein AFP less than 1,000ngmL. Human chorionic gonadotropin hCG less than 5,000IUmL 1,000ngmL. Lactate dehydrogenase LDH less than 1.5 times the upper limit of normalIntermediate-prognosis nonseminoma 13-28 of nonseminomas5-year survival 80; 5-year PFS 75. Testisretroperitoneal primary. No nonpulmonary visceral metastases. Intermediate elevation of serum tumor markers. AFP 1,000 to 10,000ngmL. hCG5,000IUL to 50,000IUL. LDH 1.5 to 10 times normalPoor prognosis nonseminoma 16-26 of nonseminomas5-year survival 48; 5-year PFS 41. Mediastinal primary. Nonpulmonary visceral metastases. Poor serum tumor markers. AFP more than 10,000ngmL. hCG more than 50,000IUmL 10,000ngmL LDH more than 10 times the upper limit of normal 