Family Medicine by Mayra Perez & Winston Liaw & Lindsay K. Botsford

Author:Mayra Perez & Winston Liaw & Lindsay K. Botsford
Language: eng
Format: epub
Publisher: McGraw-Hill Education
Published: 2011-09-14T16:00:00+00:00

TESTICULAR CANCER

Testicular cancer represents what percentage of cancers in males aged 15-35?

20% (it is the most common solid tumor in this age group)

What are the two tumor cell types associated with 90% of testicular cancers?

1. Seminoma

2. Nonseminomatous germ cell (choriocarcinoma, embryonal, teratoma, yolk sac)

Cryptorchidism increases the risk of testicular cancer. True or false?

True. Cryptorchidism increases the risk 40 fold.

What are signs and symptoms of testicular cancer?

Painless, firm testicular mass; mass does not transilluminate (although a reactive hydrocele can be present); some patients have gynecomastia

If testicular cancer is suspected, what imaging tests should be ordered?

Scrotal ultrasound (an MRI can help if the ultrasound is inconclusive)

What is the USPSTF recommendation regarding routine screening for testicular cancer in asymptomatic adolescent and adult males?

D—it recommends against routine screening

What tumor markers should be collected in a patient with suspected testicular cancer?

Complete blood count, beta subunit of human chorionic gonadotropin (beta-hCG), alpha fetoprotein (AFP), lactate dehydrogenase (LDH)

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