Testicular Cancer Flashcards

1
Q

what system in the body is testicular cancer most likely to spread to

A

Lymphatic system

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2
Q

which lymph node region is testicular cancer likely to spread to

A

Para-aortic lymph nodes

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3
Q

Testicular tumour markers

A

AFP, Beta-hCG, LDH

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4
Q

Initial choice of imaging for testicular cancer

A

Testicular USS

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5
Q

2 testicular cancer subtypes

A
  1. Seminomas
  2. Non-Seminomatous (teratoma)
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6
Q

which tumour markers is most commonly elevated in non-seminomas (teratomas)?

A

Alpha-fetoprotein (AFP)

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7
Q

what cells does testicular arise from

A

Germ cells

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8
Q

Testicular cancer staging system

A

The Royal Marsden staging

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9
Q

The Royal Marsden stages

A

Stage 1 – isolated to the testicle
Stage 2 – spread to the retroperitoneal LNs
Stage 3 – spread to the lymph nodes above the diaphragm
Stage 4 – metastasised to other organs

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10
Q

gynaecomastia Sx is a presentation of which testicular cancer

A

Leydig cell tumour

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11
Q

which testicular tumour causes a rise in Beta-hCG

A

Both - seminomas / teratomas

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12
Q

Comments on the specificity of LDH as a tumour marker

A

non-specific tumour marker

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13
Q

which type of testicular cancer has a better prognosis

A

Seminomas > Teratomas

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