[33] Testicular Tumours Flashcards
What is the importance of testicular tumours?
Most common male malignant from 15-44 years
What is the ratio of white:black in testicular tumour?
5:1
How do testicular tumours present?
Painless testicular lump
Haematospermia
Symptoms of mets or lymph node involvement
Hormonal symptoms
What presentation may occur secondary to a testicular tumour?
Hydrocele
What symptoms of mets might be present with testicular tumours?
SOB from lung mets
What symptoms of lymph node involvement may be present with testicular tumours?
Abdominal mass from para-aortic lymphadenopathy
What hormonal symptoms may be present in testicular tumours?
Gynaecomastia
Virilisation
What % of patients with testicular tumours have a contralateral tumour?
5%
What are the risk factors for testicular tumours?
Undescended testis
Infant hernia
Infertility
What % of testicular tumours occur in those with undescended testis?
10%
What are the types of testicular tumours?
Germ cell tumours
Non-seminomas
Sex-cord stromal
Lymphoma/leukaemia
What % of testicular tumours are germ cell tumours?
95%
What are the types of germ cell testicular tumours?
Pure seminomas
Non-seminomas
What % of germ cell testicular tumours are pure seminomas?
40%
What age do pure seminoma germ cell testicular tumours present?
30-40
What tumour markers may be raised in pure seminoma germ cell testicular tumours?
Incrased ßhCG in 15%
Increased placental ALP in some
What is true of pure seminoma germ cell testicular tumours, regarding treatment?
They are very radiosensitive
What are the types of non-seminoma germ cell testicular tumours?
Mixed
Teratoma
Yolk sac
Choriocarcinoma