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Conditions Year 3 > Urology > Flashcards

Urology Flashcards

1
Q

What are the investigations for testicular cancer

A
  • Ultrasound with colour doppler of testis → 1st line principal test which shows testicular mass
  • Tumour Markers → alpha fetoprotein (AFP - only in non-seminoma), beta-hCG, LDH
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1
Q

What are the clinical features of Testicular cancer

A
  • Painless hard nodular testicular mass → unilateral
  • Negative transillumination test → light does not shine through
  • Gynaecomastia → due to seminoma secreting hCG (increased oestrogen:androgen ratio)
  • May be associated hydrocele
  • Lymphadenopathy
  • Metastatic Disease → cough, SOB, chest pain, bone pain (backache)
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2
Q

What are the treatments for testicular cancer

A
  • Prior to surgery → sperm cryopreservation (tumours associated with decreased fertility)
  • Surgical Removal → Radical Inguinal Orchidectomy
  • Radiotherapy & Chemotherapy
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3
Q
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Conditions Year 3 (9 decks)

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