Testicular Cancer: The Daily PANCE Blueprint

Home Testicular Cancer: The Daily PANCE Blueprint

Testicular Cancer: The Daily PANCE Blueprint

A 29-year-old male presents with a painless, progressively enlarging mass in his right testicle that he first noticed 3 weeks ago. He reports unintentional weight loss but denies fever or dysuria. Which of the following is the best initial diagnostic test to evaluate this patient’s condition?

A. CT scan of the abdomen and pelvis
B. Serum tumor markers
C. Trans-scrotal ultrasound
D. Testicular biopsy
E. PET scan

Answer and topic summary

The answer is C. Trans-scrotal ultrasound

Testicular cancer is one of the most common cancers in young men (between 15-45 years old). Risk factors include cryptorchidism, family history, tobacco abuse, infection, trauma, and genetic changes. The most common type of testicular cancer is a germ cell tumor. Clinical features include a unilateral mass, painless swelling, weight loss, etc. Testicular imaging with trans-scrotal ultrasound is the best initial imaging modality to identify testicular cancer. Treatment depends on the stage and type of cancer.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Genitourinary ⇒ Neoplasms of the Genitourinary System ⇒ Testicular cancer (Lecture)

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