testicular cancer Flashcards

1
Q

types of germ cell tumors

A

seminomas and nonseminomas

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2
Q

most common type of testicular cancer

A

germ cell tumors

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3
Q

nongerm cell tumors

A

Leydig cell
Sertoli cell
Granulosa cell

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4
Q

risk factors for testicular cancer

A
cryptorchidism
klinefelter syndrome
Down syndrome
hypospadias
fmhx
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5
Q

tx for cryptorchidism

A

orchiopexy

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6
Q

alpha-fetoprotein and beta-hcg are increased in

A

nonseminomas

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7
Q

tumor type that is resistant to radiation

A

nonseminomas

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8
Q

initial test of choice for testicular mass

A

scrotal ultrasound

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9
Q

tumor markers that are increased in testicular cancer

A

AFP
LDH
beta-hcg

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10
Q

beta hcg can be elevated in

A

nonseminomas and seminomas

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11
Q

what imaging is needed to stage testicular cancer

A

CT of abdomen, pelvis and chest

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12
Q

clinical manifestation of testicular cancer

A

painless mass
maybe dull pain
firm hard fixed mass

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13
Q

treatment for all pts with suspected testicular cancer

A

radical orchiectomy

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14
Q

slow growing testicular tumor

A

seminomas

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15
Q

stage 1 tumor

A

confine to testis

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16
Q

stage II tumor

A

limited to testis and retroperitoneal lymph nodes

17
Q

stage IIa LN size

A

< or equal to 2 cm

18
Q

stage IIC LN size

A

> 5 cm

19
Q

stage III lymph nodes

A

present above the diaphragm

20
Q

hypoechoic mass on US

A

seminoma

21
Q

cystic nonhomogenous mass on US

A

nonseminomas

22
Q

stage I seminoma treatment

A

active surveillance

23
Q

stage I nonseminoma with high risk features tx

A

BEP x 1 cycle

24
Q

stage II nonseminoma tx

A

BEP 3 cycles

25
Q

bleomycin can cause

A

pulmonary toxicity

26
Q

negative transillumination indicates

A

testicular tumor

27
Q

BEP regimen

A

bleomycin
etoposide
cisplatin