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15 Cards in this Set
- Front
- Back
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From intratubular germ cells
1-2% Men over 65 years old Slow growing Good prognosis |
spermatocytic seminoma
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20-30 year olds
Small tumor Alveolar/tubular patterns Aggressive, hemorrhages, necrosis |
Embryonal carcinoma
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Children up to 3 years old
Yellow mucinous appearance Endodermal sinuses (Shiller-Dival bodies) AFP marker Very malignant Papillary structure on histology |
Yolk sac tumor
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Cytotrophoblasts, syncytiotrophoblasts
Makes HCG Highly malignant |
Choriocarcinoma
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Crystalloids of Reinke in the cytoplasm
Presenting feature is testicular swelling Percocious puberty |
Leydig (interstitial) cell tumors
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A tumor of the tunica vaginalis
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adenomatoid
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Younger
Sexual active men Obstruction is not a key feature |
gonorrhea
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Uncircucmcised males
Congenital or from inflammation Young age |
phimosis
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Fibrous areas in within the tunica albuginea
Crooked erections |
Peyronie's disease
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What type of pain come from the kidneys?
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Shifting pain when the pt turns. Also flank pain between the 12th rib and sacrospinus muscle.
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What two pains are referred from somewhere else?
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Ureter and penis (could mean a kidney stone)
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What type of pain comes from the bladder?
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A suprapubic discomfort.
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What type of pain comes from the prostate?
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It is poorly localized (inguinal, rectal pain, etc.)
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What can acute testicular pain indicate?
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Torsion and inflammation
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What is considered chronic testicular pain?
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a dull ache and heaviness
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