Penile and testicular cancer Flashcards

1
Q

White patches, fissuring, bleeding, scarring. A whitish ring of hardened tissue usually forms near the tip that prevents retraction of the penis.
Commonly occurs of the foreskin and glans of the penis

A

Balanitis Xerotica Obliterans (Lichen sclerosis of the penis)

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2
Q

Treatment of Balanitis Xerotica Obliterans (Lichen sclerosis of the penis)

A

opical steroid cream and skin strecthing
Theraputic circumcision
Surgical intervention should be considered for signs or symtpoms of urethral meatal stenosis. Dilation may also be required for meatal stenosis.
Glans resurfacing

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3
Q

Red velvety patches on the penis.

A

Bowens disease (Squamous cell carcinoma in situ)

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4
Q

Red vevety patches on the glans and prepuce

A

Erythroplasia of Queryat (Sqamous carcinoma in situ)

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5
Q

TTreatment of squamous cell carcinoma in situ

A

Circumcision if prepuce alone

Topical 5 fluorouracil

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6
Q

Which malignancy is associated with HPV 16?

A

Invasive squamous cell carcinoma of the penis

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7
Q

Red raised area on the penis
Fungating mass, foul smelling
Tight foreskin

A

Invasive squamous cell carcinoma of the penis

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8
Q

What test should you do if you see an invasive squamous cell carcinoma of the penis

A

US to look for urethral involvement
Sentinal node biopsy
CT chest, abdo, pelvis to look for metastases

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9
Q

Painless, insensitive testicular swelling

A

Testicular cancer

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10
Q

Which testicualr cancer is seen in men 30 - 50?

A

Seminoma

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11
Q

Which testicular cancer is seen in men 20 - 30?

A

Teratoma

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12
Q

Which testicular cancer shows a raised HCG?

A

Teratoma

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13
Q

Which testicular cancer is said to look like a potato?

A

Seminoa

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14
Q

How do you treat a seminoma?

A

Radiotherapy

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15
Q

How do you treat a teratoma?

A

Chemotherapy

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16
Q

What information does LDH give you?

A

Tumour load (marker of tumour activity)

17
Q

What would a raised AFP show you?

A

Teratoma

18
Q

Which testicular tumour is composed of several types of tissue representing endoderm, ectoderm and mesoderm?

A

Teratoma

19
Q

What testicular tumour is composed of undifferentiated germ cells and lymphocytes

A

Seminoma