Testicular tumor: Difference between revisions
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*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 | ||
==Clinical Features== | |||
*typically present with painless scrotal mass | *typically present with painless scrotal mass | ||
==Differential Diagnosis== | |||
{{Testicular DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
===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 | |||
===Evaluation=== | |||
*testicular US | *testicular US | ||
*if pain must rule out epididymitis, torsion | *if pain must rule out epididymitis, torsion | ||
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**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 | ||
==Treatment== | ==Treatment== | ||
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*[[Testicular diagnoses]] | *[[Testicular diagnoses]] | ||
== | ==References== | ||
[[Category:GU]] | [[Category:GU]] | ||
Revision as of 10:55, 1 August 2015
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
Clinical Features
- typically present with painless scrotal mass
Differential Diagnosis
Testicular Diagnoses
- Scrotal cellulitis
- Epididymitis
- Fournier gangrene
- Hematocele
- Hydrocele
- Indirect inguinal hernia
- Inguinal lymph node (Lymphadenitis)
- Orchitis
- Scrotal abscess
- Spermatocele
- Tinea cruris
- Testicular rupture
- Testicular torsion
- Testicular trauma
- Testicular tumor
- Torsion of testicular appendage
- Varicocele
- Pyocele
- Testicular malignancy
- Scrotal wall hematoma
Diagnosis
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
Evaluation
- testicular US
- if pain must rule out epididymitis, torsion
- may present with mets at time of diagnosis
- 15% present with mets to regional lymph nodes
- 5% present with mets to abdomen or pelvis
Treatment
- Urgent urology referral
Disposition
- Outpatient