Testicular lumps Flashcards

1
Q

Types

A

Varicocele - Dilated veins in pampiniform plexus (collection of veins in scrotum)

Hydrocele - collection of fluid in tunica vaginalis

Epididymis- orchitiS - infection of epididymis and testes due to chlamydia and gonorrhoea

Testicular cancer - seminoma (40 years old) and germ cell (less than 30 year old and worse prognosis)

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2
Q

Varicocele Features

A

Bag of worms

Associated with RENal cell carcinoma

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3
Q

Hydrocele features

A

Fluctuate swelling that transiluminates

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4
Q

Epididymis- orchitiS Features

A

Swollen
Tender
Red
Warm testicle

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5
Q

Cancer features

A

Form mass tethered to testes

Dull ache

Heaviness

Abdominal pain

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6
Q

Investigations for testicular mass

A

Bloods: tumour markers (LDH, AFP)

Urethral swab

Imaging: Ultrasound, staging CT

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