17. Surgery Urology- Surgery- PAEA exam with correct answers

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17. Surgery Urology- Surgery- PAEA exam with correct answers

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Institution Surgery Paea

Course Surgery paea

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17. Surgery Urology- Surgery- PAEA exam with correct answers

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17.SurgeryUrology-Surgery-PAEA
examwithcorrectanswers

RFtesticularcancer

cryptorchidism

Doesorchiopexyasanadultremove riskoftesticular cancer?

no

testicularcancerismconwhatside? whatagegroups?

**m/contheRtside
m/cage15-40yo

T/F

Testicularcancersareamongthemostcurablesolidneoplasms.Thefive-yearsurvivalrateisover95
percent

T

typesoftesticularcancer

1.mostaregerminalcelltumors
-seminomas =M/C-m/cspreadtobone
-nonseminomatous

2.nongerninalcelltumors
-Leydig
-Sertoli
-gondoblastoma

painlesstesticular nodule,cancerornot?

testicularcancer

hydroceleon20yor/o?

, testicularcancer
othersx,backpainanorexia,heaviness,swelling, gynecomastia

OnPEhowshouldanormaltesticle feel?onesuspiciousforcancer?

normal- homogeneousinconsistency,freelymovable,andseparable fromtheepididymis.

suspicious:firm,hard,orfixedareawithinthesubstanceofthetunicaalbugineashouldbeconsidered
suspiciousuntilprovenotherwise.

gynecomastia+testicualrnodule

testicularcancercausedbynongerminal cell tumors=leydig,sertoilicellsd/tincestrogen

dxtesticular cancer?Aretheretumormarkers? Whichareresistanttoradiation?Whicharemorelikely
tometastasizebeyondretroperitoneallymphnodes.

scrotalUS
-seminomatous germcellstumors=thesetumorsareRADIOSENSITIVE andlack tumormarkers!!

-nonseminomatous germcells-will haveanincinalphafetoproteinandBhCG=theseareradio
resistant.metastasisbeyondperitoneal lymphnodes

incalphafetoproteinandBhCG

-nonseminomatous germcells

NOTseminomatous

txtesticular cancer:
1.lowgradeseminoma:
2.lowgradenonseminoma
3.highgradeseminoma
4.highgradenonseminoma

surgeryandradiationforseminomna
surgeryandchemofornonseminoma

1.low-medium gradeseminomas
-raditiononlyororchiectomythenradiationtreatment

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Uploaded on: October 30, 2025
Number of pages: 10
Written in: 2025/2026
Type: Exam (elaborations)
Contains: Questions & answers

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