testicular cancer

Question 1

majority of testicular cancers are?

Answer 1

germ cell

Question 2

germ cell tumours can be divided into ?

Answer 2

seminoma and non seminoma

Question 3

which tumour develops in older men (>30)

Answer 3

seminoma (potato)

Question 4

large, solid, homogenous mass?

Answer 4

seminoma (potato)

Question 5

types of non seminoma?

Answer 5

yolk sac, choriocarcinoma, teratoma

Question 6

main risk factor for testicular cancer?

Answer 6

undesceneded testes (cryptorchidism)

Question 7

what is the tumour marker that is never raised in pure seminoma?

Answer 7

AFP never raised

Question 8

tumour marker raised in seminoma?

Answer 8

PLAP

Question 9

used to assess tumour burden

Answer 9

LDH

Question 10

HCG is raised in ?

Answer 10

non summon that contains a TROPHOBLASTIC COMPONENT (Teratoma)
TT

Question 11

lymph node spread of testicular tumours?

Answer 11

para aortic nodes

Question 12

metastatic spread of testicular cancer?

Answer 12

lungs and brain

Question 13

aged 30-65 with testicular cancer?

Answer 13

seminoma

Question 14

what question would you ask for systemic enquiry for testicular cancer?

Answer 14

SOB (for lung mets)

Question 15

1st line investigation for cancer?

Answer 15

Ultrasound 
then tumour markers 
then staging 
CXR
CTCAP 
MRI pelvis

Question 16

management of testicular cancer?

Answer 16

• Orchidectomy +/- radiotherapy or chemotherapy +/- retro peritoneal lymph node dissection.

Question 17

during surgery for test cancer, what has to be done to the spermatic cord?

Answer 17

it has to be occluded to reduce the risk of spread

Question 18

which tumour is radiosensitive?

Answer 18

seminoma

Question 19

which is chemosensitive?

Answer 19

non seminoma

Question 20

if absent cremasteric reflex?

Answer 20

torsion