1. Testicular Cancer Jennifer Boyd IMG 310 Summer 2016

2.  Testicular cancer is a disease in which malignant cancer cells form in the tissues of one or both testicles  Almost all testicular cancer starts in the germ cells.  The major two types of germ cells are; seminomas and nonseminomas.  Nonseminomas spreads and grow more quickly than seminomas  Seminomas are more sensitive to radiation.  Two main subtypes  Classical- 95% of the cases are seminomas and more common in men 25-45  Spermatocytic- Rare, occurs mainly in older men and tends to grow more slowly and less likely to metastasize to other parts of the body. What is Testicular Cancer?

3. Diagram, Ultrasound, and PET/CT of Testicular Cancer.

4. Etiology and Epidemiology of Testicular Cancer  The exact cause of most testicular cancer is unknown.  The rates are higher in men born with an undescended testicle. A condition known as “Cryptorchidism”.  A family history of the cancer.  The average age of testicular cancer is 34 years.  More common in White men than African American men.  Most common in ages 15-49  Can be treated successfully.

5. Signs/Symptoms and Modality Best Imaged Signs/Symptoms  a painless lump, change in size or any irregularity.  Pain or discomfort in the scrotum or testicle.  A dull ache or sense of pressure in the lower abdomen, back or groin. Modality Best Imaged  Computed Tomography is best used because it is more sensitive and specific for staging the disease.  Ultrasound is also used because it can help determine the location of the palpable mass when the disease is suspected.

6. Treatment and Prognosis Treatment  Surgery  Inguinal orchectomy and Reyroperitoneal lymph node dissection.  Medications  Chemotherapy and Hormone therapy  Medical procedure  Radiation therapy Prognosis- Is very good for this particular cancer.

7. Self Exam

8. References www.americancancersociety.com www.medscape.com www.radiopaedia.org www.astangaclinic.com