According to the original IGCCCG classification, metastatic NSGCT are split into good, intermediate, and poor prognostic categories based on levels of alpha-fetoprotein (AFP), human chorionic gonadotropin (hCG), and lactate dehydrogenase (LDH) as well as the presence of nonpulmonary visceral metastases (NPVM). Here, AFP is linked to nongerminomatous germ cell tumor.