Testicular cancer Flashcards
1
Q
What are the types of testicular cancer?
A
Germ cell tumour= 95%
Non germ cell tumour= 5%
2
Q
What are the types of germ cell tumour and who are they seen in?
A
Seminomatous= 30-40yo
Non seminomatous= 20-30yo, teratoma is most common subgroup
3
Q
What are the stages of testicular cancer?
A
1= confined to testes 2= infradiaphragmatic nodes 3= supra diaphragmatic nodes 4= extra lymphatic disease
4
Q
What are the risk factors for testicular cancer?
A
Infertility= single biggest risk factor Cryptorchidism Mumps orchiditis Klinefelter's FH and PMH testicular cancer
5
Q
What is the presentation of etsticular cancer?
A
Painless lump= most common
Can be tender/inflamed
6
Q
What tumours markers are there for testicular cancer?
A
AFP= 60% LDH= 40% bHCG= 20%
7
Q
What investigations are done for testicular cancer?
A
Testicular US= first line
Tumour markers
8
Q
What is the management of testicular cancer?
A
Radical orchidectomy for all
Further treatment dependent on stage= chemo or radio
