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17 Cards in this Set
- Front
- Back
What is the lymphatic drainage of the penis? Prostate? Testis
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Penis: superficial inguinal nodes
Prostate: iliac lymph nodes Testis: para-aortic lymph nodes |
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What types of lesions of the male genital tract are associated with HPV?
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condylomas (warts) and SSC
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What is the definitions of CIS, can it metastasize
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carcinoma of the penis that does NOT invade the BM and therefore no metastatic potential
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What are the most important factors in the development of carcinoma of the penis
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higher risk in uncircumsized, and those with phimosis
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What are the implicatinos of an underscended testis? What is the correct procedure when cryptorchidism is detected in an adult or adolescent?
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infertility; higher risk for germ cell tumors
adolescent needs orchiectomy, adult needs close observation and PE |
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What are the clinical features of testicular torsion
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young child with excruciating pain, often following phys activity or during sleep
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what are the subtypes of testicular germ cell tumors
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seminomas, embryonal cell carcinomas, yolk sack tumors, teratomas, choriocarcinomas, mixed germ cell tumors, stromal cell tumors
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Which germ cell tumor is most common?
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Seminomas
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Which germ cell tumor has best prognosis
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Seminomas, embryonal cell carc and yolk sac tumors have excellent prognoses
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Which germ cell tumor has worst prognosis
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choriocarcinomas
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What is the serum makrer for endodermal yolk sac tumor
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alpha fetoprotein, also makes alpha one anty trypsin
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What is the serum marker for choriocarcinoma
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beta hcg
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What is the relationship between nodular hyperplasia of prostat and protatic carcinoma
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nodular hyperplasia does NOT predispose patient to development of carcinoma
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What is the best serum marker for prostatic carcinoma, and is it helpful in detecting "early" carcinoma
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Prostatic Specific Antigen, increased in confined (early)disease, BUT is not too specific
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how are histologic grade and clinical stage of value in assessing treatment prognosis of prostatic cancer
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histologic grade correlates with prognosis, INDEPENDENT OF STAGE
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How would you treat a 75 yr old man with an occult, low grade carcinoma of the prostate
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controversial, depends on clinical circumstance, may be follow only, radiation, surgery, or some combo
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What is the typical radiographic appearance of prostatic carcinoma metastatic to bone
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show up as increased bone density, osteoblastic
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