Pathology: Male Genital Tract Flashcards
Most squamous carcinoma of the penis are invasive
True or false?
False
Around 5% are
Which type of men are most at risk of squamous carcinoma of the penis?
Uncircumcised
Which aetiological factors predispose to squamous carcinoma of the penis?
Poor hygiene
No circumcision
HPV
What is the appearance of a squamous carcinoma of the penis?
Ulcerating indurated tumour or exophytic mass
Which age group are affected by benign nodular hyperplasia of the prostate?
70
(75% over this age affected, 5% symptomatic)
In benign nodular hyperplasia of the prostate there is irregular proliferation of which tissues?
Glandular and stromal prostatic tissue
What is thought to cause benign nodular hyperplasia of the prostate?
Hormonal imbalance
Alteration of Androgen/Oestrogen ratio
(Central (peri-urethral) gland involved – oestrogen responsive)
Prostatism refers to which clinical symptoms?
Difficulty in starting micturition, poor stream, overflow incontinence.
What are the complications of BPH?
Bladder hypertrophy, diverticulum formation
If untreated hydroureter, hydronephrosis, infection can occur
(it is not a pre-malignant condition)
How is BPH treated?
Surgery (transurethral resection)
Drugs (alpha blockers, 5 alpha reductase inhibitors)
Carcinoma of the prostate is the _______ leading cause of cancer in males
Carcinoma of the prostate is the second leading cause of cancer in males
What is the peak incidence for cacinoma of the prostate?
60-80
(rare before 50)
Carcinoma of the prostate is releated to BPH
True or false?
False
Where does carcinoma of the prostate mainly arise from?
Peripheral ducts and glands
(particularly posterior lobe)
The peri-urethral zone is involved at a later stage
What are the local areas to which carcinoma of the prostate can spread?
Urethral (obstruction)
Capsular penetration
Seminal vesicles
Bladder
Rectum
How does carcinoma of the prostate affect the bone when it metastasizes?
Osteosclerosis
(bone growth)