Testicular cancer Flashcards
1
Q
What is the genetic risk?
A
First degree relatives is increased risk
2
Q
What are risk factors for testicular cancer?
A
- genetics
- undescended testicles
- HIV/AIDS
- one testicle
3
Q
What are the most common sites of metastases?
A
- bone
- bowel
- lungs
- liver
- brain
4
Q
What are the types of testicular cancer?
A
- non germ line (95%): seminomas (1/3) and non seminomas (2/3)
- germ line-sertoli cell cancer
5
Q
What is the presentation of testicular cancer?
A
- painless swelling
- fever
- weight loss
- signs of metastases
6
Q
What are DDx?
A
- epididymal cyst
- hydrocoele
- torsion of testicle
7
Q
What are investigations for testicular cancer?
A
- ultrasound
- blood tests for ßHCG, alpha feto protein and LDH
- Abdominal CT for metastases
8
Q
What is the treatment for testicular cancer?
A
- surgery
- chemo
- radiotherapy