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8 Cards in this Set
- Front
- Back
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Undescended testes (cryptorchidism) can lead to what? 2
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even when corrected quickly,
***there is a 5-10 fold increase in testicular ca in either testis *** – sterility if not corrected – may also have inguinal hernia |
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in kids, what leads to testicular inflammation?
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gram negative rods from feces (diaper wearing)
note: with enough scarring you can get infertility, but it would take a lot of scarring |
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acute scrotal pain=
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testicular torsion...needs immediate surgical/urological evaluation
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commonest germ cell tumor? what will be a likely indicator next to history?
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Seminoma
Increased HCG prognosis is really good |
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see a real young kid with a testicular lesion that doesn't transluminate...what should you think?
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Yolk Sac Tumor
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What is a chylocele?
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cystic lesion in the testicle filled with milky (lymph) fluid
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a 25 year old man comes to you with a lesion on his testicle with a small foci of hemorrhage. You run labs to find elevated HCG and AFP...what does he have?
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Embyronal cancer
more aggressive (peak in 20s/30s) hemorrhage – usually extend through the tunica into the epididymis or cord - increase HCG & AFP |
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Most mets of germ cell tumors of the testes go where?
***Quizzetta |
mets are most common in retroperitoneal para-aortic nodes,
lung most common hematogenous met site, followed by liver, brain, bone note: mets may histologically be identical to 1° or may have other germ cell elements – nonseminomatous tumors are more aggressive – tests for AFP & HCG are of value to evaluate testicular masses, stage tumors, assess tumor burden & monitor response to therapy – tx is chemo & radiation after surgery |
