Urethra, Penis And Scrotum Part 2 Flashcards Preview

Renal and Urological Conditions > Urethra, Penis And Scrotum Part 2 > Flashcards

Flashcards in Urethra, Penis And Scrotum Part 2 Deck (8)
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1

What are the 3 risk factors for tumour of the testis ? (3)

1. Undescended testis
2. Infant hernia
3. Infertility

2

Germ cell tumours make up 95% of all scrotal tumours, describe the 2 types

Pure Seminomas (80%)
- age group >30
Non- seminomas germ cell tumours :NSGCT
- mixed NSGCT
- Teratomas (rare in adults: 15-30)
- yolk sac tumours (commonest amongst children)
- choriocarcinoma

3

Apart from germ cell tumours what are the 3 other types of tumours ?

1. Sex cord strongly tumours
2. Leydig cells
3. Lymphoma/leukaemia

4

Describe the 3 main symptoms of a testicular tumour

1. Painless testicular lump with/without abdominal swelling
2. Symptoms due to Mets
3. Haemospermia/Hydrocele may be present

5

What is a rare symptom of testicular tumours ?

Gynaecomastia

6

What are the 3 investigations used for testicular tumours ?

1. USS of scrotum
2. Tumour markers:
- Teratomas: AFP and b-hcg
- seminomas: b-hcg and placental ALP
3. CT CAP for staging

7

What is the management of seminomas according to stage ?

Stage 1-2: inguinal orchidectomy + radiotherapy
Stage 3-4: as above + chemo

8

What is the management of Teratomas according to stage ?

Stage 1: inguinal orchidectomy + surveillance
Stage 2: orchidectomy + chemo
Stage 3: above + para-aortic lymph nodes removed