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