Testicular tumours Flashcards
Who gets it
Young male adults
Males with undescended testes
Types
Seminoma
Non-seminomatous germ cell tumour (teratoma)
Teratoma is more common than seminoma. True or false?
False
- seminoma is more common
Seminoma - age
33-50
- rare to develop this before puberty
Seminoma - pathology
Solid, pale, looks like a potato
Seminoma is more likely to spread than teratoma - true or false?
False
- teratoma is more likely to spread
Non-seminomatous germ cell tumour - age
20-30
- can occur before puberty
Non-seminomatous germ cell tumour - wide variety of tissue types are seen. True or false?
True
Clinical features
Painless testicular swelling
Slow progression
Non tender
Gynaecomastia
Clinical examination
Hard
Craggy
Stone like
Investigation of choice
US
Investigations
US
Markers
CT scan
Markers - if increased these are highly suggestive of testicular tumour. True or false?
True
Markers - in which type of testicular germ cell tumour is AFP raised in?
Non-seminomatous germ cell tumour
- never raised in seminoma
- mainly raised in yolk sac tumours
Markers - in which type of testicular germ cell tumour is beta HCG most commonly raised in?
Non-seminomatous germ cell tumour is more common
- also raised in pure seminoma
