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Systems 2nd Year Renal > Testicular Cancer > Flashcards

Testicular Cancer Flashcards

1
Q

Presentation Testicular Cancer

A

Painless Lump

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2
Q

Testicular Cancer is one of the

A

commonest cancers of young men

Peak incidence third decade

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3
Q

what is a precursor lesion for testicular cancer

A

testicular germ cell neoplasia in situ

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4
Q

When are tumour markers checked for in testicular cancer

A

Before and after surgery

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5
Q

A patient presents with AFP tumour marker for testicular cancer. What could this be

A

Teratoma

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6
Q

A patient presents with BHCG tumour marker for testicular cancer. What could this be

A

Seminoma

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7
Q

A patient presents with LDH tumour marker for testicular cancer. What could this be

A

Non Specific Marker of Tumour Burden

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8
Q

Diagnosis of Testicular Cancer

A

MSSU
Ultrasound and x-ray
Tumour markers

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9
Q

Treatment of Testicular Cancer

A

Radical Orchidectomy

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10
Q

For testicular cancer, the main lymphatic spread to regional lymph nodes occurs in which group of lymph nodes?

a. Scrotal lymph nodes 
b. Inguinal lymph nodes
c. Pelvic lymph nodes (i.e. internal iliac chain)
d. Mediastinal lymph nodes
e. Para-aortic lymph nodes
A

e. Para-aortic lymph nodes

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11
Q

What type of cancer is Testicular Cancer most likely

A

Germ Cell

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12
Q

Seminoma testicular cancer mainly affects

A

30-40 years old

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13
Q

how to stage nodes in testicular cancer

A

CT

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14
Q

how to distant stage in testicular cancer

A

chest, abdo, pelvis via ct

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15
Q

how to local stage in testicular cancer

A

via pathological assessment of orchidectomy specimen)

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16
Q

Stage 1 Testicular Cancer

A

disease confined to testis

17
Q

Stage 2 Testicular Cancer

A

Infradiaphragmatic nodes involved

18
Q

Stage 3 Testicular Cancer

A

Supradiaphragmatic nodes involved

19
Q

Stage 4 Testicular Cancer

A

extralymphatic disease

20
Q

Treatment of Testicular Cancer Low Stage Neg Markers

A

Orchidectomy then Adjuvant Radiotherapy for SCGT Only

21
Q

Treatment of Testicular Cancer Nodal Disease, Persistent tumour markers or relapse

A

combination chemo (bep) or lymph node dissection

22
Q

Treatment of Testicular Cancer metastases

A

Chemo

Systems 2nd Year Renal (30 decks)

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