Testicular cancer Flashcards
1
Q
testicular cancer
A
young men
1
Q
risk factors
A
- cryptorchidism- undescended testicles
- age 20-35
- caucasian males
- HIV/AIDS
- hx of testicular cancer
2
Q
monthly self exam
A
once per month after warm shower
feel for lump or changes
3
Q
signs and symptoms
A
- painless testicle swelling/lump
- testicular pain
- lymph node swelling
- abd masses
- sudden hydrocele (swelling in scrotum)
- gynecomastia
- oligospermia (decreased sperm count)
- azoospermia (no sperm count)
4
Q
Diagnosis
A
common tumor markers (increased):
- alpha-fetoprotein (AFP)
- Beta human chorionic gonadotropin (hCG)
- lactate dehydrogenase (LDH)
Ultrasound
CT
MRI
5
Q
take action
A
- discuss sperm banking
- surgery (radical unilateral orchiectomy- remove testical and lymph)
- radiation
- chemo
- postop care- increase r/f pain, infection, bleeding, dvt
- continue self exams on remaining testicle
- option for prosthesis
