Prostate and testicular cancer

Question 1

Symptoms of prostate cancer:

Answer 1

usually asymptomatic

Question 2

most common mode of presentation of prostate cancer is:

Answer 2

acute urinary retention

Question 3

How would you diagnose prostate cancer?

TRIAD

Answer 3

PSA (prostate specific antigen)

Digital rectal examination

TRUS-guided prostate biopsy

Question 4

What investigations could you do on someone with suspected prostate cancer?

Answer 4

CT scan

TRUS-guided ultrasound

Question 5

How would you treat prostate cancer?

Answer 5

localised radiotherapy

radial prostatectomy

cryotherapy

hormone therapy

Question 6

testicular cancer presentation

Answer 6

usually a painless lump

sometimes tender or swollen

Question 7

investigations for testicular cancer

Answer 7

blood taken to test for tumour markers

MSSU

Testicular ultrasound

Question 8

What are the tumour markers for testicular cancer?

Answer 8

AFP (alphafetoprotein)

HCG (human chorionic gonadotropin)

LDH (lactate dehydrogenase)

Question 9

how would you treat testicular cancer?

Answer 9

radial orchidectomy

chemo for metastases

Question 10

What is the underlying pathology of testicular tumours?

Answer 10

germ cell tumour (GCT

non GCT

seminoma

non-seminoma