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33 Cards in this Set
- Front
- Back
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cryptorchidism
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failure of the testes to fully descend down into the scrotal sac
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why cryptorchidism is a big deal
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associated with infertility and development of testicular tumors
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where is the problem in cryptorchidism
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internal inguinal ring
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similarities and differences in normal vs cryptorchidism
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number of semeniferous tubules is the same but the number of developing sperm is much les than normal
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part of normal aging process
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testicular atrophy
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testucular atrophy most often related to
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progressive athersclerotic narrowing of blood vessels in old age
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histology of testicular atrophy
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decrease in number of semineferous tubules and spermatogenesis
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epididymitis can
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extend into testis and result in inflammatory testicular diseas
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mumps orchitis is more common in
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postpubertal males
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involvement in mumps orchitis
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unilateral
exhibits focal involvement within a single testis |
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mumps orchitis is rarely associated with
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sterility due to sparing of the other testicle
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granulomatous orchitis affects
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older men
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granulomatous orchitis may mimic
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testicular tumor
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granulomatous orchitis is an
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autoimmune idsease with granulomatous pattern of inflammation
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vascular diseases of the testis
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atherosclerosis
torsion |
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what is torsion
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twisting of spermatic cord that cuts off venous drainage
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what is bad in torsion
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intense vascular engorgement followed by vascular infarction
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peak incidence for neoplatic disease of the testis
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15-34 years old
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testicular tumor usually presents with
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painless enlargement of the testis
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tumor markers for testicle cancer
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AFP
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HCGcharacteristic mode of testicular tumor spread
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initially metastasize to retroperitoneal lymph nodes and spread to mediastinal and supraclavicular lymph nodes
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most common tumor of testicle
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germ cell tumor (young people)
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second most comm tumor of testicle
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sex cord- stromal
affect all ages |
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pure germ cell tumors 40%
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seminoma
embryonal carcinoma yolk sac choriocarcinoma teratoma |
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account for 60% of germ cell tumors
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mixed germ cell tumor
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what is a seminoma (in female is called dysgerminoma)
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germ cell can become neoplastic without undergoing differentiation
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neoplastic counterpart to morula
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embryonal carcinoma
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neoplastic counterpart to embryonically differentiated tissue
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teratoma
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extra-embryo neoplastic counterpart
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choriocarcinoma, yolk sac tumors
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testicular tumor with good prognosis
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seminoma
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most common pure germ cell tumor
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seminoma
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peark occurance of seminoma
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young guys 30-40
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histology of seminoma
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nests of tumor cells separated by fibrous bands
within the bands are a lot of lymphocytes |
