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Testicular Malignancies

Reviewed 06/2022
 


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 9,610 new cases were diagnosed, and a...

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 mal...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

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

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

REFERENCES

1
Gilligan T, Lin DW, Aggarwal R, et al. Testicular cancer, Version 3.2020. https://www.nccn.org/about/news/ebulletin/ebulletindetail.aspx?ebulletinid=1537. Accessed September 15, 2020.
2
Howl...

CLINICAL PEARLS

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

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

  • Radical inguinal orchiectomy i...

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