Testicular Cancer Flashcards
1
Q
Risk factors for testicular cancer
A
- cryptorchidism
- hiv
- caucasian population
2
Q
Clinical presentation of testicular cancer
A
- Painless lump
- Incidental following trauma
3
Q
Investigations for testicular cancer
A
Investigation:
- Scrotal ultrasound
- Tumour markers:
- Alpha-fetoprotein (50-70% Teratoms and Yolk Sac Tumours)
- Beta hCG (40% Teratoma, 15% Seminoma)
- LDH (10-20% Seminoma)
- Regular Testicular Self Examination advised
4
Q
Classification of testicular cancer
A
Germ cell tumours (most common)
- seminoma
- teratoma
- mixed
- yolk sac
Stromal tumours
- leydig
- sertoli
Other
- lymphoma
- metastasis
5
Q
Treatment of testicular cancer
A
- Radical orchidectomy – offer testicular prosthesis.
- Chemoà90% cured
- Para-aortic nodal radiotherapy
- Retroperitoneal LN dissection
