Thromboembolic disease in testicular germ cell tumors-real-world evidence of three Portuguese institutions.

While advanced staging showed a trend toward higher TE incidence in stage III (5, 71.4% vs. 12, 29.2%; p = 0.074), IGCCCG prognostic category emerged as the most significant clinical predictor for TE events, with poor-risk patients showing a significantly higher incidence compared to good or intermediate-risk patients (4, 57.1% vs. 6, 14.6%; p = 0.003).

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Importantly, existing risk scores (Khorana and ONKOTEV) failed to predict any events, whereas the IGCCCG poor-risk category emerged as a highly significant predictor.

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