Flashcards in Testicular tumours Deck (32)
are white or blacks more affected by testicular tumours?
where does testicular tumours spread to which nodes?
para aortic nodes
state the presentation of testicular tumours?
painless testicular lump
what hormonal affects can testicular tumours have?
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?
what are the two types of germ cell tumours?
non seminomas (60%)
what is the most common type of non seminomas germ cell tumour?
what markers are increased in pure seminomas ?
are pure seminomas chemo or radio sensitive ?
are teratoma chemo or radio sensitive ?
what are the two types of sex cord stromal tumours ?
are sex cord stromal tumours usually benign or malignant?
are teratomas usually benign or malignant in children?
are teratomas usually benign or malignant in adults?
what markers can be picked up from teratomas ?
what is the commonest testicular tumour in children?
yolk sac tumour
what testicular tumour has the highest increase of bHCG ?
what is the commonest malignancy testicular mass >60yrs
non hodgkins lymphoma
what is the commonest malignancy testicular mass <5yrs ?
what classification is used for testicular tumours ?
royal marsden classification
what are the four stages of royal marsden classifiaction ?
disease only in testis
what testicular tumour has normal AFP?
what investigations can be done for testicular tumours?
CXR/CT for staging
what tumour markers are seen in testicular tumours ?
should FNA be done on testicular tumours?
- may cause seeding along needle tract
how is stage 1/2 seminomas treated?
inguinal orchidectomy and RT
how is stage 3/4 seminomas treated?
inguinal orchidectomy and RT and chemo
what chemo is used to treat stage 3/4 seminomas ?
( Bleomycin, Etoposide, cisPlatin)