Reproductive Cancer Made Simple For NLE NRE Step 1

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1. Prostate Cancer

  • Location:
    • The prostate gland is located around the urethra and in front of the rectum.
  • Most Common Area Affected:
    • The peripheral zone of the prostate is the most common site for prostate cancer.
  • Risk:
    • Prostate cancer is the second leading cause of cancer-related mortality in males.
  • Benign Prostatic Hyperplasia (BPH):
    • Occurs in the transitional zone of the prostate.
    • Treatment: Alpha-1 antagonists like Tamsulosin are used to treat BPH.
  • Symptoms:
    • Lower back pain.
    • Weight loss.
  • Lab Tests:
    • PSA (Prostate-Specific Antigen) > 4 ng/mL indicates a possible prostate cancer.
  • Diagnostic Test:
    • USG-guided biopsy is the most accurate method for confirming prostate cancer.
  • Grading:
    • The Gleason Grading System is used to assess the prognosis of prostate cancer.
  • Imaging for Metastasis:
    • CT scan is used to assess for metastasis.
  • Treatment:
    • Chemotherapy or TURP (Transurethral Resection of the Prostate) can be performed for treatment.
Prostate cancer risk factors, PSA levels, biopsy, and treatment

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2. Testicular Cancer

  • Germ Cell Tumors:
    • 95% of testicular cancers are germ cell tumors.
    • Risk Factors:
      • Cryptorchidism (undescended testis).
      • Klinefelter syndrome (47, XXY).
  • Non-Germ Cell Tumors:
    • 5% of testicular cancers are non-germ cell tumors.
    • These include Leydig cell tumors and Sertoli cell tumors.

3. Germ Cell Tumors

Tumor TypeTumor Marker
Yolk Sac TumorAFP (Alpha-fetoprotein)
ChoriocarcinomaBeta-HCG
TeratomaAFP or Beta-HCG
SeminomaNegative for AFP and Beta-HCG
Germ cell tumor types with their respective tumor markers

4. Non-Germ Cell Tumors

TumorTumor Marker
Leydig Cell CancerIncreased Testosterone
Sertoli Cell CancerNegative for Testosterone
Testicular MassDiagnosed via USG (Ultrasound)
Metastatic LesionsDiagnosed via CT Scan
TreatmentRadical Orchiectomy (Surgical removal of affected testicle) – Platinum-based Chemotherapy (for advanced disease)
Non germ cell tumors including Leydig and Sertoli with tumor markers

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