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Y4 Nephrology/Urology > Testicular tumours > Flashcards

Flashcards in Testicular tumours Deck (32)
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1

are white or blacks more affected by testicular tumours?

white

2

where does testicular tumours spread to which nodes?

para aortic nodes

3

state the presentation of testicular tumours?

painless testicular lump
haematospermia

4

what hormonal affects can testicular tumours have?

gynaecomastia
virilisation

5

what is virilisation?

muscle bulk, body hair, and deep voice as a result of excess androgen production.

6

what is the commonest type of testicular tumour?

germ cell

7

what are the two types of germ cell tumours?

pure seminomas
non seminomas (60%)

8

what is the most common type of non seminomas germ cell tumour?

mixed

9

what markers are increased in pure seminomas ?

beta BCG
placental ALP

10

are pure seminomas chemo or radio sensitive ?

radiosensitive

11

are teratoma chemo or radio sensitive ?

chemosensitive

12

what are the two types of sex cord stromal tumours ?

leydig
sertoli

13

are sex cord stromal tumours usually benign or malignant?

benign

14

are teratomas usually benign or malignant in children?

benign

15

are teratomas usually benign or malignant in adults?

malignant

16

what markers can be picked up from teratomas ?

beta HCG
AFP

17

what is the commonest testicular tumour in children?

yolk sac tumour

18

what testicular tumour has the highest increase of bHCG ?

choriocarcinoma

19

what is the commonest malignancy testicular mass >60yrs

non hodgkins lymphoma

20

what is the commonest malignancy testicular mass <5yrs ?

ALL

21

what classification is used for testicular tumours ?

royal marsden classification

22

what are the four stages of royal marsden classifiaction ?

disease only in testis
below diaphragm
above diaphragm
metastasis

23

what testicular tumour has normal AFP?

pure seminoma

24

what investigations can be done for testicular tumours?

tumour markers
scrotum US
CXR/CT for staging

25

what tumour markers are seen in testicular tumours ?

AFP
bHCG
placental ALP

26

should FNA be done on testicular tumours?

no
- may cause seeding along needle tract

27

how is stage 1/2 seminomas treated?

inguinal orchidectomy and RT

28

how is stage 3/4 seminomas treated?

inguinal orchidectomy and RT and chemo

29

what chemo is used to treat stage 3/4 seminomas ?

BEP
( Bleomycin, Etoposide, cisPlatin)

30

how is stage 1 non seminomas treated?

inguinal orchidectomy