Testicular tumor: Difference between revisions

Revision as of 12:46, 14 March 2011

Background

most common malignancy in young men, 1% all cancers in men
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)
5% sex cord stromal tumors
typically present with painless scrotal mass

Diagnosis

testicular US
if pain must rule out epididymitis, torsion
may present with mets at time of diagnosis
1. 15% present with mets to regional lymph nodes
2. 5% present with mets to abdomen or pelvis

Work-Up

testicular US
UA
CT of chest/abdomen/pelvis helpful for staging, only necessary in ED if patient has complaints related to this part of body

DDx

hydrocele
torsion
epididymitis

Treatment

urgent urology referral

Disposition

Insert

Source

Adapted from ....(insert)

Authors:

@@ Line 1: / Line 1: @@
 ==Background==
+#most common malignancy in young men, 1% all cancers in men
+#increased frequency in: infertile patients, whites, undescended testis, history of cryptorchidism
--most common malignancy in young men, 1% all cancers in men
+#95% germ cell tumors: half seminomas, half mixed types (teratomas, choriocarcinomas, yolk sac tumors)
+#5% sex cord stromal tumors
--increased frequency in: infertile patients, whites, undescended testis, history of cryptorchidism
+#typically present with painless scrotal mass
--95% germ cell tumors: half seminomas, half mixed types (teratomas, choriocarcinomas, yolk sac tumors)
--5% sex cord stromal tumors
--typically present with painless scrotal mass
 ==Diagnosis==
+#testicular US
+#if pain must rule out epididymitis, torsion
--testicular US
+#may present with mets at time of diagnosis
+##15% present with mets to regional lymph nodes
--if pain must rule out epididymitis, torsion
+##5% present with mets to abdomen or pelvis
--may present with mets at time of diagnosis
-     -15% present with mets to regional lymph nodes
-     -5% present with mets to abdomen or pelvis
 ==Work-Up==
+#testicular US
+#UA
--testicular US
+#CT of chest/abdomen/pelvis helpful for staging, only necessary in ED if patient has complaints related to this part of body
--UA
--CT of chest/abdomen/pelvis helpful for staging, only necessary in ED if patient has complaints related to this part of body
 ==DDx==
+#hydrocele
+#torsion
--hydrocele
+#epididymitis
--torsion
--epididymitis
 ==Treatment==
+#urgent urology referral
--urgent urology referral
 ==Disposition==
-Insert
-==Evidence Based Questions==
 Insert
 ==See Also==
 Insert
 ==Source==
 Adapted from ....(insert)
 [[Category:GU]]