Urology Cancers Flashcards

1
Q

What is a raised PSA ?

A

Anything more than >4.

If high must re-chek PSA.

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2
Q

What is the imaging for prostate cancer ?

A

Prostate MRI

and then a biopsy.

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3
Q

What is the main risk of a prostate biospy?

A

infection.

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4
Q

How to stage prostate cancer.

A

Gleason score.

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5
Q

Which nodes might be inflammed with prostate cancer

A

Pelvic nodes and retroperitoneal nodes.

Can do this with a CT scan

CT scan is best for nodes !!

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6
Q

Where does prostate cancer usually metastasis?

How do you assess this ?

A

bones.

bone scan

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7
Q

How to diagnose prostate cancer.

A

tumour marker

histological type

TNM - Stage/extension.

Grade - Gleason score.

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8
Q

Is this low, medium , or high risk ?

Prostate adenocarcinoma Gleason score 9, presenting PSA at 7

A

High risk

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9
Q

Is this low, medium, or high risk ?

Prostate adenocarcinoma Gleason score 6, presenting PSA at 7

A

low risk

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10
Q

What is the treatment for prostate cancer?

if its ….

1 - Localised

2- Metastatic

A
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11
Q

When is medical castration used ?

What is the treatment option ?

A

metastatic prostate CA.

3 monthly infection.

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12
Q

What is the main risk factor for bladder cancer ?

A

Smoking

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13
Q

What is the surgery for a bladder cancer ?

A

TURBT (Transurethral resection of bladder tumour).

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14
Q

What is the treatment for bladder carcinoma.

A
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15
Q

What is an ileal conduit.

A

An ileal conduit (IC) is the most common urinary diversion performed by urologists after a patient undergoes a radical cystectomy (bladder removal).

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16
Q

Where does kidney cancer spread ?

What imaging needs to be done ?

What is the surgery ?

A

Retro-peritoneal and lungs

CT.

Nephrectomy

17
Q

What is the treatment for this ?

A

Radical nephrectomy.

18
Q

what is the treatment for this ?

A

Partial nephrectomy.

19
Q

What are the investigations for testicular cancer ?

What is the surgery for this ?

A
20
Q

Which lymph nodes does testicular cancer spread to?

Think about testicular veins.

A

Therefore, testis cancer has a very predictable pattern of spread. The first place these cancers typically spread is to the lymph nodes around the kidneys, an area called the retroperitoneum and also IVC.