Testis Cancer

Background

Epidemiology

Risk factors

Types

IGCCCG risk classification, from Wilkinson 1997



TNM staging, from NCCN/Campbell's

Presentation and Workup

Symptoms/Signs

Imaging workup

Serum Tumor Markers (STMs)y

Sperm Banking

Orchiectomy and Final Diagnosis

Tips for Minimizing Cancer Recurrence

Testis-Sparing Surgery

Management of Seminoma - 85% Stage I, 10% Stage II, 5% Stage III at presentation

Stage I

Stage II/III

Post-chemotherapy residual masses

Relapse

Management of NSGCT - 33% Stage I, 33% Stage II, 33% Stage III at presentation

Stage IA

Stage IB

Stage IS

Stage IIA

Stage IIB

Stage IIC + III

Relapsed disease

Brain metastases

Non-Germ Cell Tumors

Sex cord stromal tumors

Other testis tumors

Adnexal tumors

Sources