GU Malignancy Flashcards

1
Q

Prostate CA- Dx

A
  • Elevated PSA
  • DRE- nodule
  • TRUS guided biopsy
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2
Q

Prostate CA- Sx

A
  • No signs early

- Freq, urgency, stream, blood in ejaculate

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3
Q

Prostate CA- Tx

A
  • Active surveillance (PSA & repeat biopsy)
  • Prostectectomy
  • Decrease testosterone
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4
Q

Bladder CA- Eti

A

7th most common CA

  • M>W
  • 70 YO
  • Smoker, catheters, schisto.
  • Papillary v flat
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5
Q

Bladder CA- sx

A
  • Gross, painless hematuria

- Most common cause of hematuria in men >50

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6
Q

Bladder CA- Dx

A
  • CT scan

- Cystoscopy

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7
Q

Bladder CA- Tx

A
  • Transurethral resection of bladder tumor

- Cystectomy + chemo (gold standard)

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8
Q

Testicular CA- Eti

A
  • 1% CA

- Disease of young men (15-35)

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9
Q

Testicular CA- Risks

A
  • Undescended testicles
  • Fam Hx
  • Caucasian
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10
Q

Testicular CA- Sx

A
  • Painless lump
  • Ache or enlargement
  • Gynecomastia
  • Back pain with mets
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11
Q

Testicular CA- Dx

A
  • Ultrasound
  • Quant hCG
  • AFP
  • Do not biopsy
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12
Q

Testicular CA- Tx

A
  • Observation
  • Radiation for seminoma
  • Retroperitoneal lymph node dissection
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13
Q

Penile CA- Eti

A
  • Rare
  • 20 % mortality from METS
  • Common in 3rd world
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14
Q

Penile CA- Risks

A
  • HPV, STIs
  • Uncircumcised state
  • Smoking
  • Age, >60
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15
Q

Penile CA- Sx

A
  • Painless penile lesion
  • Fails to heal, induration of skin,
  • On glans and prepuce
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16
Q

Penile CA- Dx

A
  • Biopsy

- CXR & CT to stage

17
Q

Penile CA- Tx

A
  • Topical
  • Radiation
  • Penectomy
18
Q

Prostate CA- Eti

A

Most common CA in men

  • 2nd leading cause of death
  • Most adenocarcinoma
  • Risks: blakc, fam hx, hx of high fat intake
19
Q

Bladder, penile screening- USPSTF

A

Insufficient evidence

20
Q

Prostate & testicular screening- USPSTF

A

D- Recommends against screening PSA for prostate CA

21
Q

Prostate screening- ACS

A
  • Patients choose to be screened
  • Age 50 of average risk
  • Age 40 high risk