Testicular cancer

Question 1

Which age peaks?

Answer 1

Infancy
25-40 years
60 years

Question 2

Predisposing congenital defects?

Answer 2

Klinefelters

Cryptorchidism

Question 3

RFs?

Answer 3

Fam history
Personal history
UNDESCENDED testes

Question 4

MC types?

Answer 4

Seminoma and non seminoma

Question 5

Symptoms?

Answer 5

Painless testicular mass

Enlarged testicle

Question 6

Diagnostic tests?

Answer 6

USG
Blood test
CT
Radical inguinal orchiectomy

Question 7

Which markers in blood test?

Answer 7

beta hCG, AFP, LDH

Question 8

What is diagnosis if AFP is elevated?

Answer 8

ALWAYS NON- seminoma!

Question 9

How to do bioopsy?

Answer 9

NEVER DO BIOPSY

Question 10

What is only accepted therapeutic and diagnostic procedure?

Answer 10

Radical INGUINAL orchiectomy

Question 11

Treatment of seminomas?

Answer 11

Radiotherapy

Question 12

WHat type of chemotx?

Answer 12

Cisplatin, etoposide, w/without Bleomycin

Question 13

What is BEP regimen?

Answer 13

Bleomycin
Etoposide
Cisplatin

Question 14

Complications of chemotx?

Answer 14

Bleomycin: Lung fibrosis, triggered by oxygen
Etoposide: secondary leukemia