Testicular Cancer Flashcards

1
Q

Orchiopexy

A

Fixation of testis
Moving undecended into scrotum

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2
Q

Cryptorchidism

A

Hidden testicle

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3
Q

% born with undescended pre mature infant

A

30%

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4
Q

% post mature infant

A

3% full term

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5
Q

One year old % undecended

A

80% decent by 1st year

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6
Q

Risks of undescended

A

Reduced fertility
Increase germ cell tumors
Psychological
Torosian
Hernia
Infarction

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7
Q

What energy is used in an ultrasound

A

High frequency sound waves

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8
Q

What is a hydrocele

A

Buildup of fluid around testes

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9
Q

Why hydrocele common?

A

If the tube (inguinal canal) does not close after testes descend fluid from abdomen may drain and get trapped in scrotum

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10
Q

What is an easy test for a hydrocele

A

Shining a flashlight behind swollen part of scrotum transillumination test

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11
Q

Varicocele

A

Accumulation of blood in veins of the spermatic cord due to faulty valves

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12
Q

What age has a 15% varicocele

A

Puberty?

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13
Q

Germ cells

A

Immature sperm cells spermatogonia

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14
Q

How are germ cell tumors classified

A

Non seminomas or seminomas

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15
Q

Non seminomas

A

Fast aggressive spread quickly

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16
Q

Seminomas

A

Slow growing

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17
Q

Symptoms

A

Painless mass on testicle
Pain
Swelling

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18
Q

Treatment

A

Surgery
Chemotherapy
Radiation

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19
Q

Chemotherapy after orcheiectomy if

A

Enlarged lymph nodes or cancer in blood samples

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20
Q

Radiation effect

A

High energy x-rays to target specific area to kill cancerous cells

21
Q

Tumor marker

A

A molecule (protein, enzyme, hormone, genetic marker) occurring in blood or tissue whose measurement is useful in diagnosis or management

22
Q

4 ways to use tumor marker

A
  1. Cancer screening
  2. Diagnosis
  3. Prognosis
  4. Monitor
23
Q

Alpha - fetoprotien (AFP)

A

Made by immature liver cells in fetus

24
Q

When do AFP levels even

A

AFP levels should fall to those of adult in first year of life

25
Q

High blood AFP

A

Hepatocellular carcinoma, germ cell, tumor cancer or liver

26
Q

high HCG levels NORMAL

A

Pregnancy made by cells of placenta

27
Q

HCG what is important

A

Size of tumor

28
Q

Lactate dehydrogenase (LDH)

A

Produces energy
ALL TISSUES OF BODY

29
Q

More LDH?

A

Cell damage

30
Q

Ct

A

Computerised tomography

31
Q

Ct function

A

X rays at angle to combine

32
Q

MRI

A

Magnet not x ray

33
Q

Orichectomy

A

Removal of testis

34
Q

2 types of testies cancer

A

Seminomas , non seminomas

35
Q

Germ Cells produce gametes

A

Eggs / sperm

36
Q

Stage spread to lungs and brain cells

A

Stage 3C (like stage 4)

37
Q

Stage 2

A

Lymph spread

38
Q

TNMS

A

Staging system
T-tumor
N-node
M-metastasis (distant)
S-blood

39
Q

Confined and not spread

A

Stage 1

40
Q

Enlarged lymph nodes

A

Stage 2

41
Q

Chemotherapy

A

Targets rapidly dividing cells

42
Q

Normal cells are damaged leading to

A

Fatigue
Hair loss
Loa
N&V
Metallic taste
Loss fertility

43
Q

How long will frozen sample be stored?

A

Until diner is 55 years

44
Q

Partial

A

Shrunk

45
Q

Stable

A

Remains same

46
Q

Complete

A

All gone :)

47
Q

Progression (disease)

A

Still growing

48
Q

RPLND

A

Retroperinetal lymph
Node dissection
Remove lymph nodes