Penile and testicular cancer Flashcards
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
Balanitis Xerotica Obliterans (Lichen sclerosis of the penis)
Treatment of Balanitis Xerotica Obliterans (Lichen sclerosis of the penis)
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
Red velvety patches on the penis.
Bowens disease (Squamous cell carcinoma in situ)
Red vevety patches on the glans and prepuce
Erythroplasia of Queryat (Sqamous carcinoma in situ)
TTreatment of squamous cell carcinoma in situ
Circumcision if prepuce alone
Topical 5 fluorouracil
Which malignancy is associated with HPV 16?
Invasive squamous cell carcinoma of the penis
Red raised area on the penis
Fungating mass, foul smelling
Tight foreskin
Invasive squamous cell carcinoma of the penis
What test should you do if you see an invasive squamous cell carcinoma of the penis
US to look for urethral involvement
Sentinal node biopsy
CT chest, abdo, pelvis to look for metastases
Painless, insensitive testicular swelling
Testicular cancer
Which testicualr cancer is seen in men 30 - 50?
Seminoma
Which testicular cancer is seen in men 20 - 30?
Teratoma
Which testicular cancer shows a raised HCG?
Teratoma
Which testicular cancer is said to look like a potato?
Seminoa
How do you treat a seminoma?
Radiotherapy
How do you treat a teratoma?
Chemotherapy