Testicular cancers Flashcards
1
Q
Incidence of Testicular Cancer
A
Most common malignancy in males 15-44.
10% due to cryptorchidism
2
Q
Types of testicular cancer
A
Seminoma, Mixed Germ cell Yolk sac Non seminoma germ cell tumour (NSGCT) Teratoma
3
Q
Clinical Features of Testicular Cancer
A
Painless testis lump found after trauma/infection
Haematospermia
Secondary Hydrocele
Abdominal mass or lung mets causing dyspnoea.
4
Q
Risk Factors for Testicular Cancer
A
Undescended testis, infertility, infant hernia, HIV
5
Q
Investigaitons for Testicular Cancer
A
Excisional Biopsy
Alpha featal protein, Beta hCG hormone, LDH
CXR, CT chest/Abdo/Pelvis
6
Q
Treatment of Testicular Cancer
A
Radical Orchidectomy and radiotherapy - Stage 1 95% cure rate using this therapy.
Chemotherapy bleomycin, cisplatin, etoposide used in Stage 3+mets for cure.
7
Q
Prevention and prognosis
A
Self examination,
has a 90% 5 year SR.
