Testicular Tumours

Question 1

What are the most common tumors of the testis?

Answer 1

• Seminoma - 55% commonest 30-65
• Non-seminomatous germ-cell tumour - 33% - commonest 20-30

Question 2

What are the risk factors for the development of testicular cancer?

Answer 2

• Cryptorchidism
• Gonadal dysgenesis
• FHx/personal Hx

Question 3

What are the likely examination findings in a patient with testicular cancer? How is it worked-up?

Answer 3

• Painless testis lump
  
  • Smooth
  • Firm
  • Non-fluctuant
• US testis, bHCG, aFP, LDH
• Orchiectomy

Question 4

What are the management prinicples for a patient with testicular cancer?

Answer 4

• Initial management
  
  • Radical orchiectomy
• Follow-up
  
  • Radio/chemotherapy

Question 5

What are the likely sites of metastasis of a malignant testicular tumour?

Answer 5

• Retroperitoneal and mediastinal lymph nodes
• Lungs