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afya
Testicular cancer
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> most common malignancy in men aged 20-30 years. 95% are germ-cell tumours - seminomas, teratomas (rarely yolk sac tumours) Non-germ cell tumours include Leydig cell tumours and sarcomas. peak incidence for teratomas is 25 years and seminomas is 35 years. ''Risk factors'' cryptorchidism infertility family history Klinefelter's syndrome mumps orchitis ''Features'' painless lump (most common) pain (in minority) possibly - hydrocele, gynaecomastia ''Diagnosis'' ultrasound 1st ''Management'' orchidectomy chemotherapy and radiotherapy as to stage ''Prognosis'' - mostly excellent 5 year survival for seminomas is around 95% if Stage I 5 year survival for teratomas is around 85% if Stage I
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