Testicular cancer Flashcards

1
Q

What is the genetic risk?

A

First degree relatives is increased risk

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2
Q

What are risk factors for testicular cancer?

A
  • genetics
  • undescended testicles
  • HIV/AIDS
  • one testicle
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3
Q

What are the most common sites of metastases?

A
  • bone
  • bowel
  • lungs
  • liver
  • brain
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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
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5
Q

What is the presentation of testicular cancer?

A
  • painless swelling
  • fever
  • weight loss
  • signs of metastases
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6
Q

What are DDx?

A
  • epididymal cyst
  • hydrocoele
  • torsion of testicle
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7
Q

What are investigations for testicular cancer?

A
  • ultrasound
  • blood tests for ßHCG, alpha feto protein and LDH
  • Abdominal CT for metastases
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8
Q

What is the treatment for testicular cancer?

A
  • surgery
  • chemo
  • radiotherapy
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