testicle tumors Flashcards
difference in the eval of testicular tumors from other tumors
not biopsied due to risk of seeding scrotum
elevated bHCG from tumors can lead to (2)
hyperthyroidism
gynecomastia
germ cell tumors are divided into:
seminoma
non-seminoma
seminoma
large, clear cells
no hemorrhage
PLAP
good prognosis
embryonal carcinoma
immature/primative cells
hemorrhagic
early spread
endodermal sinus (yolk sac)
m/c in children
AFP
schiller-duvall
choriocarcinoma
cyto/synctiotrophoblasts
bHCG
small primary, large mets
teratoma
mature fetal tissue
malignant in males
leydig cell tumors produce/consequence; histologic feature
androgen= precocious puberty/gynecomastia
Reinke crystals
m/c cause of testicular mass in man over 60, 2nd m/c
lymphoma
2nd m/c = DLBC