testicular cancer Flashcards
1
Q
presentation
A
Painless lump
tender inflamed swelling
history of trauma
signs of metastases- lymph nodes
commonest cnacer of young men
2
Q
RF
A
previous contralateral testis cancer
genetics
white
infertility
undescended testis
3
Q
investigations
A
lump is testicular tumour until proven otherwise
MSSU
US is gold standard
tumour markers in bloods- AFP, BHCC, LDH
4
Q
treatment
A
inguinal radical orchidectomy
not biopsy
chemo and or radio as follow up
regular surveillance with blood tests and imaging for at least two years after treatment
