TESTICULAR MASS Flashcards
What is the most common neoplasm in men aged 20-35?
Testicular cancer
What is necessary for the diagnosis of a testicular cancer?
Orchiectomy
How many cases of testicular cancer are there per 100,000 males per year?
5-6 cases
Approximately what percentage of testicular cancer develops in patients with a history of cryptorchism?
5%
Patients are often the first to recognize the testicular abnormality but delay in seeking medical attention for up to how long?
3-6 months
What percentage of patients present as asymptomatic with testicular cancer?
10%
What percentage of patients manifests symptoms relating to metastatic disease at presentation?
- Back pain – retroperitoneal metastases
- Cough – pulmonary metastases
- Lower extremity edema – vena cava obstruction
10%
Gynecomastia is seen is what percentage of patients with testicular cancer?
5%
An incorrect diagnosis is made at the initial examination in up to what percentage of patients with testicular tumors?
25%
What serum markers are important in the diagnosis and monitoring of testicular cancer?
- HCG
a. if positive, have high suspicion for cancer - Alpha-fetoprotein
- Lactate dehydrogenase
- LFT
a. elevated in hepatic metastases - CBC
What imaging is used to determine whether or not the mass is intra-testicular or extra-testicular?
Scrotal ultrasound
What percentage of diagnosis is made by an inguinal orchiectomy?
75%
Testicular cancers with retroperitoneal disease are treated with what and retroperitoneal irradiation, with more advanced cancers requiring chemotherapy?
Radical orchiectomy
True or False
5-year disease free survival for patients with stage I-III prostate cancer are between 90-100% depending on staging
True
True or False
Patients with disseminated disease have a 5-year disease free survival rate of 55-80%
True
