Testicular cancer Flashcards
Is testicular cancer common?
Its one of the most common cancers of young men
What age group is testicular cancer most common
30s
What race is testicular cancer more of a risk
Caucasians
What the prognosis of testicular cancer
Good if treated
What is 5 year survival of stage 1 testicular cancer
99%
What is 5 year survival of stage 2/3 testicular cancer
96%
What is 5 year survival of stage 4/5 testicular cancer
73%
What are presenting symptoms of testicular cancer
Usually Painless lump
Less often
Tender inflamed swelling
History of trauma (although trauma NOT a risk factor)
What lymph nodes get enlarged if you have testicular cancer
Para-aortic
What is examination/Investigations for testicular cancer
Physical examination
MSSU (mid stream)
Testicular ultrasound scan and CXR
Tumour markers
What is treatment for testicular cancer
Radical orchidectomy is essential
Occasionally may need biopsy of ‘normal’ contralateral testis if high risk for tumour
Further treatment depends on tumour type, stage (TNM) and grade
What is stage 1 testicular cancer
Disease is confined to the testis
What is stage 2 testicular cancer
Infradiaphragmatic nodes involved
What is stage 3 testicular cancer
Supradiaphragmatic nodes involved
What is stage 4 testicular cancer
Extralymphatic disease