Testicular cancer Flashcards
Testicular cancer is divided into two types…
- Seminomas (most common)
- Non-seminomas (mostly teratomas)
Give a risk factor for testicular cancer
Undescended testes
Describe the typical presentation of testicular cancer
Painless testicular lump
Give an example of an unusual sign of testicular cancer which is related to a specific, rare type of tumour
Gynaecomastia (associated with Leydig cell tumour)
Describe the investigation of testicular cancer (blood tests and imaging)
Blood tests:
- Tumour markers which may be raised include alpha-fetoprotein (AFP), beta-hCG and lactate dehydrogenase (LDH)
Imaging:
- Testicular USS usually first line investigation to confirm the diagnosis
- CT scan for staging
Which staging system is used to stage testicular cancer?
Royal Marsden staging system
Management of testicular cancer is guided by…
MDT
Describe the management options for testicular cancer
- Radial orchidectomy (+/- sperm banking)
- Chemotherapy
- Radiotherapy