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Testicular Malignancies Updated 4/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • Pathophysiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment

Ongoing Care

  • Patient Education
  • Prognosis
  • Complications
The following is an excerpt....
BASICS
Description
  • Testicular cancer: 1% of all cancers in men; most common solid malignancy in men aged 15–35 years; ~ 8,400 new cases diagnosed in the US in 2009 (1).
  • Is one of the most curable solid-organ cancers (95.9%, 5-year survival) (2).
  • Arise from any testicular or adnexal cell; divided into germinal cell (GC) (~95%) and nongerminal tumors (~5%). GC divided into seminomatous and nonseminomatous types.
ALERT: Pediatric Considerations
  • 1–2% of all solid tumors in childhood; incidence of 0·5–2 per 100,000; 74% of primary testis tumors in prepubertal children were benign.
  • Bimodal distribution, peak in young adults and smaller peak in the 1st 3 years of life.
  • The peak age at presentation ...

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See Also
Images >
Undescended Testicle You should distinguish between undescended testes, shown above (with testes in the inguinal canals), from highly retractile testes due to an active cremasteric reflex. Credit: Fletcher M: Physical Diagnosis in Neonatology. Philadelphia; Lippincott Williams & Wilkins, 1998.
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