Repro Pathology

Question 1

what is the most common cancer in younger male patients (15-25)?

Answer 1

testicular cancer; but it is rare overall

Question 2

RF for testicular cancer

Answer 2

• cryptorchidism (non-descent of testes) is top RF
• mumps that lead to orchitis (inflammation of testes)

Question 3

signs/sx testicular cancer

Answer 3

painless, solid mass in testis

Question 4

tx/outcomes testicular cancer

Answer 4

90% cured by surgical removal of testis and often chemo/radiation

Question 5

whats a common cancer in men? the third most common cause of cancer death in males.

Answer 5

prostate cancer

Question 6

what is BPH?
what are complications/sequalae?

Answer 6

benign growth of stoma and glands of prostrate constricts urethra making urination difficulty leading to incompletely emptying

> can lead to UTIs or kidney damage

Question 7

BPH tx

Answer 7

drugs to relax smooth muscle and inhibit growth

surgical transurethral resection > widens prostatic urethra

Question 8

what are the causes (broad) of proctatitis

Answer 8

can be infectious or noninfectious (chronic inflammatory, etc)

Question 9

prostate cancer workup

Answer 9

DRE
PSA (high rate of false pos)

Question 10

prostate cancer tx

Answer 10

surgery and sometimes radiation

metastatic prostate CA tx with drugs that block testosterone synthesis or action

Question 11

pathophys ED

Answer 11

• PS nerves of penis release too little NO
• temporary ED: psychological, meds, alcohol, drugs
• chronic ED: issues with BV (atherosclerosis, varicose veins) or nervous system (stroke, penile nerve damage, MS), DM

Question 12

tx ED MOA

Answer 12

drugs such as sildenafil (Viagra) enhance effect of existing NO