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Testes Cancer
Most common solid tumor in 20s
High cure rate
Delay in diagnosis due to fear,
ignorance, failure for self examination
Presentation painless testicular
mass
Testes Ca
1% -Benign
Non-Germ Cell (5-10%)
Leydig
cell
Sertoli cell
Testes Ca - Epidemiology
1.
.
.
.
.
.
Age
0-10
20-30
25-35
30-40
>50
Histology
Yolk sac tumor
Choriocarcinoma
Mixed E,T, TC
Seminoma
Lymphoma
Staging
Tumor markers
AFP, HCG,
LDH
Stage Risk
Status
I
IIA / IIB
Good
IIC / III
Intemed
Poor
Seminoma
Nonsem
>98
>95
86
72
>98
>95
92
80
48
Radiation Therapy
Retroperitoneal Templates
Testes Ca Chemotherapy
for NSGCT
Bleomycin
Etoposide
Cisplatin