Testicular Cancer

Question 0

Radical orchiectomy

Answer 0

Surgical removal of the affected testis, spermatic cord, and regional lymph nodes. Client only infertile if both testes removed.

Question 1

Cryptochidism

Answer 1

Undescended testicle

Question 2

Risk factors for testicular cancer

Answer 2

Cryptorchidism, family history, men 15-35, history of mumps, orchitis, childhood inguinal hernia or maternal exposure to diethylstillbesytrol (DES)

Question 3

Screening for testicular cancer

Answer 3

Monthly testicular self exam, males beginning at puberty and annual professional testicular exam

Question 4

Clinical manifestations of testicular cancer

Answer 4

Scrotal lump, swelling or heaviness, lump often non-tender, firm, and cannot be transmitted, back pain, cough, dyspnea, dysphasia with metastasis

Question 5

Surgical intervention for testicular cancer

Answer 5

Radical orchiectomy

Question 6

What is important to remember about radiation and chemotherapy in testicular cancer?

Answer 6

Often causes infertility; sperm banking recommended

Question 7

What ages should men perform monthly testicular exams?

Answer 7

Puberty-40

Question 8

Technique for testicular self-exam

Answer 8

During shower or bath, testes easier to palpate when scrotum is warm, use both hands to feel each testis, rolling between thumb and first three fingers

Question 9

Normal findings for testicular self-exam

Answer 9

Smooth, round testis. One testis may be larger than the other. Epididymis and spermatic cord also palpable