Testicular Cancer Flashcards
What is the most common neoplasm in men age 20-35?
Testicular cancer
What is necessary?
Orchiectomy
What percentage of testicular cancer comes a history of cryptorchism?
5%
What are the signs and symptoms of testicular cancer?
Patient is usually first to recognize abnormality but delay seeking medical attention 3-6 months
Sensations of heaviness
Acute testicular pain in about 10 percent of patients
10% are asymptomatic at presentation
What percentage of patients will have gynecomastia?
5%
What serum markers are important diagnosis?
Human chorionic gonadotropin
Alpha-feta protein
Lactase dehydrogenase
Liver function tests elevated hepatic metastases
Cbc anemia in advanced disease
What is the 5 year disease free survival for patients with stage 1-3 and disseminated disease?
90-100%
55-80%
How do treat testicular cancer?
Inguinal orchiectomy diagnosis
75percent of cases cured by orchiectomy
More advanced requires chemotherapy