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  #1  
Old 03-05-2010
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Question Testicular Tumor?

A 32 year old man presented with painless enlargement of his right testis. He has no other symptoms. Examination confirmed an enlarged nodular non tender right testicular swelling. Ultasound showed hypechoic mass in the right testis.
What type of testicular tumor this patient is most likely suffering from?
A- Seminoma
B- Yolk sac tumor
C- Teratoma
D- Leydig cell tumor
E- Lymphoma
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  #2  
Old 03-07-2010
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Default Seminoma

I think it must be A Seminoma
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Old 03-07-2010
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Quote:
Originally Posted by matz View Post
I think it must be A Seminoma
Yeah, I was thinking the same, but is that based on the age of the patient only! Or there are other clues in the question
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Old 03-07-2010
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Originally Posted by GNND85 View Post
Yeah, I was thinking the same, but is that based on the age of the patient only! Or there are other clues in the question
yeah same here only the age.
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Old 03-10-2010
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yay!! i thought it was seminoma too.

i'm just checking some of the threads posted now.
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Old 02-22-2012
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Well the fact that 95% of all testicular tumors are germ cell tumors, and that the most common is seminoma, and the fact that is painless and its between 15-35 years of age. Seminoma is the correct answer in my opionion. I guess in the exam they might say the watery cytoplasm, or the fried eggs appearance.
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Old 02-22-2012
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Question for everybody, ovarian dysgerminoma is the equivalent for seminoma in men, dysgerminoma has hCG and LDH as tumor markers, but as FA doen't mention a tumor marker for test. seminoma, and thoughts?
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Old 02-22-2012
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Originally Posted by LatinGeorge View Post
Question for everybody, ovarian dysgerminoma is the equivalent for seminoma in men, dysgerminoma has hCG and LDH as tumor markers, but as FA doen't mention a tumor marker for test. seminoma, and thoughts?
isn't PLAP a marker for seminoma?
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Old 02-22-2012
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Quote:
Originally Posted by khushi.chahal View Post
isn't PLAP a marker for seminoma?
that's why i asked, i don't know, or are you telling me?
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Old 02-22-2012
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Quote:
Originally Posted by LatinGeorge View Post
that's why i asked, i don't know, or are you telling me?
this is of the top of my head, Kaplan says PLAP is for... i think seminoma.
i'm not very confident in my memory hence the question mark lol
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Old 02-22-2012
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Quote:
Originally Posted by khushi.chahal View Post
this is of the top of my head, Kaplan says PLAP is for... i think seminoma.
i'm not very confident in my memory hence the question mark lol
yes it is .........
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Old 05-07-2012
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Post Hi

I was reading an article on testicular mass. here are the excerpt-


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Old 05-07-2012
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Default some facts

TESTICULAR CANCER:
The patient may complain of a dull ache or a sense of scrotal heaviness.
commonly occurring cancers in young men, with an average patient age of 32 years.
A significantly increased incidence of testicular cancer is found in patients with cryptorchidism, developing in both the nondescended and the contralateral descended testes.

Leydig's cell tumors:
When examining patients with a testicular mass, evaluation for gynecomastia should also be performed. Leydig's cells produce testosterone.

Ninety-seven percent of testicular tumors are germinal in origin, with seminoma being the most common, followed by embryonal cell carcinoma, teratoma and choriocarcinoma.

Nonseminoma tumors are often made up of more than one type of cell, and are identified according to these different cell types:
Choriocarcinoma (rare)
Embryonal carcinoma
Teratoma
Yolk sac tumor

Serum AFP is excreted to varying degrees by NSGCT but not by pure seminoma. An elevated AFP level implies NSGCT or mixed tumor. About one half of NSGCT and mixed tumors will secrete beta HCG, as will about 10 percent of pure seminomas. Seminomas have elevated Placental Alk. phosphotase in 50% of cases.

Management. Radical orchiectomy with high ligation of the spermatic cord via an inguinal approach is appropriate for surgery on testicular masses.

The tremendous improvement in cure rates is due in large part to the introduction of cisplatin (Platinol) chemotherapy.
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Old 10-29-2016
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Quote:
Originally Posted by matz View Post
I think it must be A Seminoma

actualy...are you sure that its a seminoma..yea i agree its the most common type...but i remember reading somewhere ..that nodular ...is teratoma....i m not sure tho....please confirm the answer!!
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