14. b. Testes, Penis and Scrotum Flashcards

1
Q

What is cryptorchidism?

A

Testis don’t descend into scrotum

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2
Q

Give an example of a genetic cause of cryptorchidism

A

Prader Willi syndrome

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3
Q

What complications are associated with cryptorchidism?

A

Atrophy and infertility

Increased risk germ cell tumour including in the unaffected testis

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4
Q

What is a varicocoele?

A

Dilated veins in the spermatic cord

Can lead to fertility problems due to warmth

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5
Q

What is a hydrocoele?

A

Fluid collection in tunica vaginalis

Due to infection, hernia

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6
Q

What are the causes of orchitis in young men?

A

STDs

Mumps

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7
Q

What causes orchitis in older men?

A

UTIs

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8
Q

When is testicular torsion most common?

A

At birth and puberty

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9
Q

What tumours can be found in the testis?

A

Germ cell most common
Sex cord/stromal tumours eg. leydig cell
Rarely lymphoma and mets

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10
Q

What are the risk factors for germ cell tumours?

A

White
Cryptorchidism
Klinefelter syndrome

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11
Q

What does T2 mean in relation to testicular tumours?

A

Vascular or tunica albuginea invasion

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12
Q

What does T3 mean in relation to testicular tumours?

A

Cord invasion

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13
Q

What does T4 mean in relation to testicular tumours?

A

Scrotum invasion

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14
Q

What lymph nodes does testicular cancer spread to?

A

Iliac

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15
Q

What are the most common sites for mets from testicular cancer?

A

Lungs

Brain

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16
Q

What is the average age for seminomas vs non-seminomas?

A

40s in seminoma

30s in non-seminoma

17
Q

What is the main treatment for seminomas vs non-seminomas?

A

S: Radiation
NS: chemo

18
Q

What markers are present in non-seminoma testicular tumours?

A

hCG in choriocarcinoma

AFP in yolk sac tumours

19
Q

What are the types of non-seminoma testicular tumours?

A

Embryonal carcinoma
Yolk sac tumour
Teratoma
Choriocarcinoma

20
Q

What word is given to describe an abnormal opening of the urethra in the penis?

A

Hypospadia and epispadia

21
Q

What word describes an inability to retract the foreskin?

A

Phimosis

22
Q

What are causes of phimosis?

A

Chronic inflammation due to poor hygiene

Dermatological conditions such as lichen sclerosis

23
Q

What is the most common cancer in the penis?

A

SCC

24
Q

Which lymph nodes does penile cancer met to first?

A

Inguinal