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Testicular Malignancies

Huy T. Tran, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Testicular cancer accounts for <1% of all cancers in men; it is the most common solid malignancy in men aged 20 to 34 years (1).

  • An estimated 9,310 new cases were diagnosed, and an...

DIAGNOSIS

HISTORY

  • A painless solid testicular mass is pathognomonic for testicular cancer.

  • Clinical symptoms of epididymitis or orchitis that do not respond to treatment warrant further evaluation.

  • Gynec...

TREATMENT

GENERAL MEASURES

  • Seminoma: Specifics are noted in the National Comprehensive Cancer Network guidelines (1):

    • Stages IA, IB: Options may include surveillance (preferred) (for low tumor load mali...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Pure seminoma: Specifics are noted in the National Comprehensive Cancer Network guidelines (1),(2)[A]:

    • Stages IA, IB: in general, H&P, optional tumor markers e...

REFERENCES

1
Gilligan T, Lin DW, Aggarwal R, et al. Testicular cancer, Version 1.2019. https://www.nccn.org/about/news/ebulletin/ebulletindetail.aspx?ebulletinid=1537. Accessed October 28, 2018. https:...

ADDITIONAL READING

  • Hanna NH, Einhorn LH. Testicular cancer—discoveries and updates. N Engl J Med.  2014;371(21):2005–2016. [View Abstract on OvidMedline]

  • Marcell AV, Bell DL, Joffe A, et al; for S...

CODES

ICD10

  • C62.90 Malig neoplasm of unsp testis, unsp descended or undescended

  • C62.00 Malignant neoplasm of unspecified undescended testis

  • C62.10 Malignant neoplasm of unspecified descended testis

  • C62.91...

CLINICAL PEARLS

  • Testicular cancer is the most common solid organ tumor in men aged 20 to 34 years.

  • Testicular US is initial imaging of choice for testicular pathology.

  • Radical inguinal orchiectomy is us...

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