Testicular tumor - Revision history

Rossdonaldson1: /* Background */

2020-06-04T20:16:24Z

Background

← Older revision		Revision as of 20:16, 4 June 2020
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	==Background==		==Background==
			[[File:Gray1144.png\|thumb\|Scrotal anatomy]]
			[[File:Figure 28 01 03.jpg\|thumb\|Testicular anatomy]]
	*Most common malignancy in young men, 1% all cancers in men		*Most common malignancy in young men, 1% all cancers in men
	*Increased frequency in: infertile patients, whites, undescended testis, history of cryptorchidism		*Increased frequency in: infertile patients, whites, undescended testis, history of cryptorchidism

2016-10-02T19:54:38Z

Text replacement - "*UA" to "*Urinalysis"

← Older revision		Revision as of 19:54, 2 October 2016
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	===Work-Up===		===Work-Up===
	*Testicular US		*Testicular US
	*UA		*[[Urinalysis]]
	*CT of chest/abdomen/pelvis helpful for staging, only necessary in ED if patient has complaints related to this part of body		*CT of chest/abdomen/pelvis helpful for staging, only necessary in ED if patient has complaints related to this part of body

2016-07-27T06:08:38Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-09T11:19:48Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 11:19, 9 July 2016
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	**If no admission is arranged, consider deferring ordering tumor markers to consultants		**If no admission is arranged, consider deferring ordering tumor markers to consultants

	==~~Treatment~~==		==Management==
	*Urgent urology referral		*Urgent urology referral

2016-05-25T23:35:02Z

← Older revision		Revision as of 23:35, 25 May 2016
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	==Clinical Features==		==Clinical Features==
	*Typically present with painless scrotal mass		*Typically present with painless scrotal mass, dull lower abdominal ache, or heaviness sensation
			*May have endocrine abnormalities from hCG elevations<ref>Harris M et al. Testicular tumour presenting as gynaecomastia. BMJ. 2006 Apr 8; 332(7545): 837.</ref><ref>Voigt W et al. Human chorionic gonadotropin-induced hyperthyroidism in germ cell cancer--a case presentation and review of the literature. Onkologie. 2007 Jun;30(6):330-4.</ref>
			**Gynecomastia
			**Hyperthyroid biochemical signs

	==Differential Diagnosis==		==Differential Diagnosis==

2016-05-25T23:16:51Z

← Older revision		Revision as of 23:16, 25 May 2016
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	==Diagnosis==		==Diagnosis==
	===Work-Up===		===Work-Up===
	*~~testicular~~ US		*Testicular US
	*UA		*UA
	*CT of chest/abdomen/pelvis helpful for staging, only necessary in ED if patient has complaints related to this part of body		*CT of chest/abdomen/pelvis helpful for staging, only necessary in ED if patient has complaints related to this part of body

2016-05-25T23:16:34Z

← Older revision		Revision as of 23:16, 25 May 2016
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	==Clinical Features==		==Clinical Features==
	*~~typically~~ present with painless scrotal mass		*Typically present with painless scrotal mass

	==Differential Diagnosis==		==Differential Diagnosis==

2016-05-25T23:16:23Z

← Older revision		Revision as of 23:16, 25 May 2016
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	==Background==		==Background==
	*~~most~~ common malignancy in young men, 1% all cancers in men		*Most common malignancy in young men, 1% all cancers in men
	*~~increased~~ frequency in: infertile patients, whites, undescended testis, history of cryptorchidism		*Increased frequency in: infertile patients, whites, undescended testis, history of cryptorchidism
	*95% germ cell tumors: half seminomas, half mixed types (teratomas, choriocarcinomas, yolk sac tumors)		*95% germ cell tumors: half seminomas, half mixed types (teratomas, choriocarcinomas, yolk sac tumors)
	*5% sex cord stromal tumors		*5% sex cord stromal tumors

2016-05-25T23:14:47Z

2016-05-25T23:14:29Z

← Older revision		Revision as of 23:14, 25 May 2016
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	===Evaluation===		===Evaluation===
	*~~testicular~~ US		*Testicular US
	*if pain must rule out epididymitis, torsion		*If pain must rule out epididymitis, torsion
	*~~may~~ present with mets at time of diagnosis		*May present with mets at time of diagnosis
	**15% present with mets to regional lymph nodes		**15% present with mets to regional lymph nodes
	**5% present with mets to abdomen or pelvis		**5% present with mets to abdomen or pelvis
			*Urology may ask for LDH, AFP, hCG tumor markers<ref>Testicular Cancer: Version 1.2015. National Comprehensive Cancer Network. Available at http://www.nccn.org/professionals/physician_gls/pdf/testicular.pdf.</ref>
			**Ensure follow up and document carefully, since EPs will not follow up on results
			**If no admission is arranged, consider deferring ordering tumor markers to consultants

	==Treatment==		==Treatment==