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Testicular Malignancies

Huy Tan Tran, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Testicular cancer accounts for 1% of all cancers in men; it is the most common solid malignancy in men aged 15 to 34 years (1).

  • An estimated 8,850 new cases were diagnosed, and an est...

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 ma...

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, ...

REFERENCES

1
Motzer RJ, Jonasch E, Agarwal N, et al. Testicular cancer, Version 2.2016. National Comprehensive Cancer Network. http://www.nccn.org. Accessed October 4, 2016. [View Abstract on OvidMedl...

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 ...

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 15 to 34 years.

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

  • Radical inguinal orchiectomy is us...

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