Testicular and penile cancer Flashcards
(12 cards)
what age group is testicular cancer most common in
20-50 years, peaks in 20s
give some risk factors for testicular cancer
white ethnicity
1st degree relative fam hx
hx cryptorchidism
HIV
what are the most common types of testicular cancers
90% germ cell tumours
what are the symptoms of testicular cancer
majority present with a painless lump
occasionally presents with a short hx of a painful, swollen inflamed testes (secondary to intra tumour haemorrhage)
secondary symptoms of metastatic disease
what are three serum tumour markers you can check for in testicular cancer
LDH, AFP, bHCG
what is the primary ix of choice in testicular cancer
ultrasound
in a suspected testicular cancer with normal AFP and bHCG values, what should you consider
seminoma
what type of cancers are the majority of penile cancers
SCCs
what age does incidence of penile cancer peak at
70s
give some risk factors for penile cancer
foreskin
smoking
HPV
what are the clinical features of penile cancer
painless lump or ulcer on distal aspect of the penis
rarely: inguinal mass
what topical treatments can you give for small superficial penile cancers
imiquimod, 5-FU
