1.4.2 Testicular Neoplasia Flashcards

(42 cards)

1
Q

What type of therapy is used to treat testicular tumors?

A

Platinum based therapy

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2
Q

What age group is responsible for 90% of testicular cancers?

A

20-50 y/o (if a tumor is found in the testis after the age of 50, it is probably a metastases

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3
Q

How does a seminoma present?

A

Testicular enlargement or nodular mass that causes the patient dull pain or minor discomfort

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4
Q

What is the most common type of germ cell tumor?

A

Seminoma (composed of one cell type)

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5
Q

What type of tumor?

A

Leydig cell tumor

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6
Q

What are the four types of germ cell testicular tumors?

A

Intratubular germ cell neoplasia (ITGCN), seminoma, nonseminomatous germ cell tumors, mixed seminoma

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7
Q

Identify

A
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8
Q

Which cells are malignant? Describe their appearance

A

Fried egg appearance (precursor to germ cell tumor)

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9
Q
A

1 C

2 C

3 B

4 B

5 D

6 D

7 C

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10
Q

90% of tumors are from what type of cell?

A

Germ cells

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11
Q

What type of tumor?

A

Sertoli cell tumor

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12
Q

What this be?

A

Seminoma in a bisected testis

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13
Q

What are the four different cell types that could give rise to testicular tumors?

A

Germ cells, Sertoli cells, Leydig cells, Stromal cells (rare)

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14
Q

What is this?

A

Teratoma - embryonal carcinoma cells

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15
Q

What is the cure rate in seminomas?

A

90%

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16
Q

What are the two types of sex cord cell tumors (which accounts for 5% of testicular cancers)?

A

Leydig cell tumor, Sertoli cell tumor

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17
Q

Identify A-E

18
Q

Identify the three regions

19
Q

What % of sex chord tumors are benign?

20
Q

During the years of 25-50, where does testicular cancer rank among malignant cancers in men?

21
Q

What are the common metastatic locations of germ cell tumors?

A

Paraaortic lymph nodes then solid organs (lung, brain, liver)

22
Q

Identify the two cell types in this seminoma

A

Top: tumor cells

Bottom: lymphocytes

23
Q

What is this?

A

Non-seminomatous germ cell tumor

24
Q

What is the most common type of sex chord tumor

A

Leydig > Sertoli

25
What serologic marker is used to identify seminoma?
Trick question. There isn't one
26
What type of tumor is the yolk sac tumor?
childhood tumor (w/ AFP)
27
What are the two serological markers of nonseminomatous germ cell tumor?
AFP and hCG
28
Identify
29
Which cells play a support function?
Sertoli cells and smooth muscle cells of the lamina propria
30
What this be?
Seminoma (septa contain lymphocytes, **tumor cells form lobules**)
31
Which cells secrete testosterone?
Leydig cells
32
Identify the different cell types present
33
What are the three risk factors for testicular germ cell tumors?
cryptochordism, gonadal dysgenesis, sex chromosome and genetic disorders
34
What are the effects of leydig cell tumors in prepubertal children? Adults?
Prepubertal: precocious puberty, macrogenitosomia Adults: gynecomastia
35
What are the sex cord and germ cell tumors?
36
What cell type?
Embryonal carcinoma cells
37
What are the clinical features of a seminoma?
38
What are the characteristics of Leydig cell tumor?
39
Schiller Duval Body is characteristic of?
Yolk Sac Tumor
40
What are the characteristics of Embryonal Carcinoma?
Malignant Tumor comprised of immature, primitive cells that produce glands Forms hemorrhagic mess with negrosis Could have elevated AFP or hCG
41
What are the characteristics of Yolk sac tumor?
Resembles yolk sac elements Most common in children **_Schiller-Duval Bodies_** AFP is elevated
42
What are the characteristics of a Choriocarcinoma?
Malignant tumor of the syncytiotrophoblasts and cytotrophoblasts. **hCG is characteristially elevated** leading to hyperthyroidism or gynecomastia