TUMORES TESTICULARES Flashcards

1
Q

PORCENTAJE DE NEOPLASIAS EN HOMBRES

A

1-2 %…NEOPLASIA SOLIDA MAS FRECUENTE EN PAC 15 A 30 AÑOS

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2
Q

DIFERENCIA EN TX DEL TUMOR TEST SEMINOMATOSO Y NO SEMINOMATOSO

A

SEMINOMA RESPONDE EXCELENTE A RADIO Y EL NO SEMINOMA A QUIMIO

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3
Q

PRONOSTICO DE TUMOR TESTICULAR

A

95% CURACION

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4
Q

TIPO HISTOLOGICOMAS FRECUENTE

A

TUMORES DE CELS GERMINALES 95% DEL CUAL EL SEMINOMA ES E LMAS FRECUENTE

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5
Q

TIPO HISTOLOGICO MENOS FRECUENTE

A

5% TUMORES DEL ESTROMA, LINFOMA (1%)

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6
Q

FR PARA TUMORES TESTICULARES

A

KLINELFELTER, CRIPTORQUIDIA, PAROTIDITIS CON ORQUITIS, USO DE ESTROGENOS EN EMBARAZO, ANTECEDENTES, TESTE HIPOTROFICO, RADIACION

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7
Q

MANIF CLINICA MAS IMPORTANTE

A

MASA DURA E INDOLORA….EN 10% SE PRESENTA COMO ESCROTO AGUDO

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8
Q

METASTASIS

A

LINFATICA…..TEST DERECHO INTERAORTOCAVOS, PRECAVOS Y TEST IZQUIERDO PARAAORTICO Y PREAORTICOS

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9
Q

CUALES ELEVAN AL AFP

A

TUMOR DEL SENO ENDODERMICO, Y CARCINOMA EMBRIONARIO

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10
Q

CUALES ELEVAN LA HGC

A

SEMINOMA Y CORIOCARCINOMA

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11
Q

PX DEL CARCINOMA EMBRIONARIO

A

MAL PX METS TEMPRANA

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12
Q

TUMOR TEST QUE DA METS VIA HEMATOGENA

A

CORIOCARCINOMA A PULMON E HIGADO

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13
Q

CARACT DEL TUMOR DE CELS DE LEYDIG CLINICO E HISTOLOGICA

A

PROVOCA PUBERTAD PRECOZ….CRISTALOIDES DE REINKE HISTOLOGICAMENE

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14
Q

CARACTERISTICA DEL LINFOMA TESTICULAR

A

EN MAYORES DE 50 AÑOS

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15
Q

DX DEL TUMOR TESTICULAR

A

HACER PROTOCOLO, USG MARCADORES… ORQUIECTOMIA CON POST ANALISIS

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16
Q

A QUIEN TAC

A

EN QUIEN SOSPECHES DE MET

17
Q

QX DE ELECCION

A

ORQUIECTOMIA VIA INGUINAL

18
Q

T DEL TNM

A

TIS INTRATUBULAR T1 TESTICULO Y EPIDIDIMO SIN INVASION VASC O LINF…T2 TEST Y EPIDIDMO CON INVASION….T3 AFEC CORDON ESPERMATICO….T4 ESCROTO

19
Q

N DEL TNM

A

N1 GANGLIOS MENOR A 2CM ……N2 DE 2-5 Y N3 MAS DE 5 CM

20
Q

ESTADIOS

A

1 NO…… EST 2A N1 CUALQ T …….EST 2B N2….. EST 2C N3…… EST 3 M1

21
Q

TX DE SEMINOMA E1

A

VIGILANCIA O QUIMIO

22
Q

TX DE SEMINOMA E2

A

RADIO EN 2A Y EN 2B RADIO O QUIMIO

23
Q

TX DE E2C SEMINOMA

A

QUIMIO YA NO RADIO

24
Q

TX DE E1 DE NO SEMINOMATOSO

A

VIGILANCIA, O LINFADENECTO MIA O QUIMIO

25
Q

TX DE E2 DE NO SEMINOM

A

QUIMIO A BASE DE PLATINOS SI MARCADORES SON POSITIVOS SI SON NEGATIVOS CONSIDERAR MISMO TX QUE E1

26
Q

TX DE E2C Y 3

A

QUIMIO