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32 Cards in this Set
- Front
- Back
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testicular ca is the most common ca in ___
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young men
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median age of dx of testicular ca is ___
incidence is high in ___ countries |
34
scandinavian |
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5 year survival for testicular ca is ___%
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96
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2 risk factors for testicular ca
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cryptorchidism
previous testicular ca |
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___ cryptorchidism is a worse risk factor than ___.
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abdominal
inguinal |
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testicular ca presents as ___
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painless swelling of testis
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T/F: some pts have acute testicular pain
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true
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testicular ca can have ___ due to increased ___ secreted by tumor
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gynecomastia
beta-hCG |
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T/F: biopsy is performed to dx testicular ca
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false
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2 imaging studies for dxing testicular ca
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US
CT of pelvis, abdomen, chest |
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data are insufficient to recommend ___ study for dxing testicular ca
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FDG CT
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___ is the only diagnostic surgical procedure for testicular ca
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radical inguinal orchiectomy
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2 histological types of testicular ca
most tumors are ___. |
single histology
mixed histology mixed |
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3 kinds of single histology testicular ca
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seminoma
embryonal/yolk sac/teratoma chorioca |
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4 kinds of mixed histology testicular ca
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seminoma
embyronal yolk sac teratoma |
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mixed tumors with a high ___ percentage are aggressive
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embryonal
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3 serum markers for testicular ca
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aFP
beta-hCG LDH |
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pure seminoma only has elevated ___
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beta-hCG
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LDH level reflects ___ (2)
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tumor burden
growth rate |
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initial testicular ca mets go via ___ to ___
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lymph
retroperitoneal LNs |
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stage I testicular ca is limited to ___
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testes
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stage II testicular ca is limited to ___ (2)
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testes
infradiaphragmatic LNs |
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most pts are dxed at stage ___
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I
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stage I pts get ___ if low risk of relapse and ___ (2) if high risk.
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surveillance
adjuvant RT adjuvant carboplatin |
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stage II pts get ___ (2)
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adjuvant radiotx
BEP chemo |
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BEP is ___
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bleomycin
etoposide cisplatin |
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etoposide is a ___
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topoisomerase 2 inhibitor
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2 main histological kinds of testicular ca
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seminoma
embyronal |
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3 kinds of embyronal tumor
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chorioca
yolk sac tumor teratoma |
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chorioca secretes ___
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beta-hCG
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yolk sac tumors secrete ___
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aFP
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teratomas secrete ___
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nothing
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