testicular caner Flashcards

1
Q

when do male get testicular cancer

A

Three peaks: infancy, 25-40 and 60

Solid testicular mass > 50 yoa= usually lymphoma.

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2
Q

RF for testicular cancer

A

Kleinfelter, cryptorchidosm, FHx, PHx

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3
Q

most common type of testicular cancer

A

GERM CELL tumor (exam). can further be divided into seminoma and nonseminoma.
Other types: sex cord tumor

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4
Q

Symptoms of testicular cancer

A

Painless testicular mass, can present with acute pain (bleeding into tumor), symptoms consistent with infectiois epididymitis

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5
Q

Dx of testicular cancer

A

USG

radical inguinal orciectomy minimizes local tumor occurance and aberrant lymphatic spread. Transscrotal orchiectomi = CI

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6
Q

Serum markers for testicular cancer

A

AFP (never increased in seminoma) HCG, LDH = exam

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7
Q

which LN are often infiltrated in testicular cancer

A

Paraortic (retroperitoneal)

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8
Q

metastasis in testicular cancer

A

Liver, lung, Bone

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9
Q

chemo therapy in testicular cancer

A

Cisplatin + etoposide +- bleomycin (nb lung fibrosis)

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