NRE Step 1: Reproductive Cancer Made Simple – BilalMD

  • Prostate Gland
    • Located around the urethra and in front of the rectum.
    • Peripheral Zone: Common site for prostate cancer.
    • Transitional Zone: Site for Benign Prostatic Hyperplasia (BPH).
    • Prostate cancer is the most common cancer in males and the second leading cause of mortality.
    • Symptoms: Lower back pain, weight loss, urinary retention.
    • Lab: PSA (Prostate-Specific Antigen) > 4ng/ml.
    • Prognosis: Gleason grading.
    • Diagnosis: Ultrasound-guided biopsy for accurate diagnosis.
    • Treatment: Chemotherapy, Transurethral Resection of the Prostate (TURP).
  • Testicular Cancer
    • Most common in males aged 15-40%.
    • Germ Cell Tumors (95%):
      • Associated with cryptorchidism and Klinefelter syndrome.
      • Types and Markers:
        • Yolk sac tumor: AFP (Alpha-fetoprotein).
        • Choriocarcinoma: BhCG (Beta-human chorionic gonadotropin).
        • Teratoma: AFP or BhCG (variable).
        • Seminoma: Most common type, AFP/BhCG negative.
    • Non-Germ Cell Tumors (5%):
      • Leydig cell tumor: May produce testosterone.
      • Sertoli cell tumor: Marker negative.
      • Testicular lymphoma: Metastatic.
    • Diagnosis: Ultrasound (USG).
    • Treatment: Radical orchiectomy, platinum-based chemotherapy.

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