Testicular Cancer

Question 1

Testicular cancer is most common neoplasm in men aged?

Answer 1

20-35

Question 2

What procedure is necessary for dx of testicular cancer?

Answer 2

Orchiectomy

Question 3

How many cases per 100,000 males are their of testicular cancer each year?

Answer 3

5-6

Question 4

5% of testicular cancer develop in patients with a hx of?

Answer 4

Cryptorchism

Question 5

Patient presents with a painless enlargement of testis but delayed seeking evaluation for 3-6 months with a sensation of heaviness, what condition are you concerned for?

Answer 5

Testicular Cancer

Question 6

Acute testicular pain because of intra-testicular hemorrhage occurs in what percentage of patients?

Answer 6

10%

Question 7

What percentage of patients are asymptomatic or manifest sx relating to metastatic disease at presentation?

Answer 7

10%

Question 8

Gynecomastia is seen in what percentage of patients with testicular cancer?

Answer 8

5%

Question 9

What lab should be done and what findings would there be for testicular cancer?

Answer 9

Urine hCG: Positive, high suspicion for cancer
CBC: Anemia may be present in advanced disease

Question 10

What imaging should be done for testicular cancer?

Answer 10

Scrotal ultrasound
Clinical staging (once dx is made)

Question 11

What percentage of dx is made by orchiectomy?

Answer 11

75%

Question 12

What is the survival rate for 5 year disease free patients with stage 1-3?

Answer 12

Between 90-100%

Question 13

What is the survival rate for patients with disseminated disease but have a 5 year disease free?

Answer 13

55-80%

Question 14

Where should patients with testicular cancer be referred?

Answer 14

Urology, oncology