Testicular tumours Flashcards
(32 cards)
are white or blacks more affected by testicular tumours?
white
where does testicular tumours spread to which nodes?
para aortic nodes
state the presentation of testicular tumours?
painless testicular lump
haematospermia
what hormonal affects can testicular tumours have?
gynaecomastia
virilisation
what is virilisation?
muscle bulk, body hair, and deep voice as a result of excess androgen production.
what is the commonest type of testicular tumour?
germ cell
what are the two types of germ cell tumours?
pure seminomas non seminomas (60%)
what is the most common type of non seminomas germ cell tumour?
mixed
what markers are increased in pure seminomas ?
beta BCG
placental ALP
are pure seminomas chemo or radio sensitive ?
radiosensitive
are teratoma chemo or radio sensitive ?
chemosensitive
what are the two types of sex cord stromal tumours ?
leydig
sertoli
are sex cord stromal tumours usually benign or malignant?
benign
are teratomas usually benign or malignant in children?
benign
are teratomas usually benign or malignant in adults?
malignant
what markers can be picked up from teratomas ?
beta HCG
AFP
what is the commonest testicular tumour in children?
yolk sac tumour
what testicular tumour has the highest increase of bHCG ?
choriocarcinoma
what is the commonest malignancy testicular mass >60yrs
non hodgkins lymphoma
what is the commonest malignancy testicular mass <5yrs ?
ALL
what classification is used for testicular tumours ?
royal marsden classification
what are the four stages of royal marsden classifiaction ?
disease only in testis
below diaphragm
above diaphragm
metastasis
what testicular tumour has normal AFP?
pure seminoma
what investigations can be done for testicular tumours?
tumour markers
scrotum US
CXR/CT for staging
