Male Reproductive and Genitourinary Tumors

What is the most common form of testicular cancer?

Germ cell tumors About 95% of testicular neoplasms originate in germinal elements.

What is the most common symptom of testicular cancer?

Painless mass Usually, a testicular tumor appears as a painless swelling or nodular mass in the scrotum and is sometimes noted incidentally by the patient or a sexual partner.

What is the standard dose used when irradiating the entire bladder?

4500 to 5000 cGy The larger pelvic field to include the bladder and pelvic lymph nodes is generally treated to a dose of 45 to 50 Gy at 180 cGy per day, which requires 5 to 5 1/2 weeks of treatment.

What is the 5-year survival rate of all stages of testicular cancer combined?

50%

Who has the most significant risk of developing prostate cancer?

70 year old black man

What is the 5-year survival of all stages of prostate cancer combined?

99%

Which of the following treatment techniques can be used to treat the prostate? a. 4-field box. b. IMRT c. Brachytherapy d. All of the above

All of the above

Cancer of which urinary organ is most common?

Bladder Approximately 67,160 new cases and 13,750 deaths from bladder cancer are reported in the United States annually. The incidence peaks in the seventh (7th) decade, and in men this cancer is the fourth most prevalent malignant disease.

Which of the following is least likely to be used in the management of a patient with prostate cancer?

Chemotherapy

Kidney carcinoma can be attributed to which of the following? I. Cigarette use II. Obesity III. Beetel nut chewing

I and II

Which of the following treatment techniques are most frequently used when irradiating the prostate? I. Supine Position II. Prone Position III. Full Bladder IV. Empty Bladder

I and III

Which lymph node chains will be treated if a man is diagnosed with right-sided testicular cancer that has not spread outside the testicle? I. Right SCV nodes II. Para-aortic nodes III. Right inguinal nodes

II and III

What region might receive prophylactic radiation therapy for advanced right-sided testicular cancer?

Left SCV nodes The lymphatic pathways associated with the entire lower section of the body are associated with drainage into the thoracic duct, which is associated with the left side inlet in the SVC region.

Gleason's grading system is based on the tumor's ______________

Morphology Gleason devised a quantatative histologic grading system based on the morphologic tumor characteristics.

Which cancer can be treated using a water bath to provide dose homogeneity by compensating for the irregular surface with tissue-equivalent material?

Penis The water used, which is tissue equivalent, will compensate for the cylindrical presentation of the penis and ensure even dose distribution over the volume of interest.

To which surface of the proste gland do the seminal vesicles attach?

Posterior superior The seminal vesicles pierce the posterosuperior aspect of the prostate gland.

Cancer of which of the following male reproductive system components is most common?

Prostate Carcinoma of the prostate is the most common malignancy in males in the United States.

A total dose of 7200 cGy in fractions of 180 cGy is used to treat which male reproductive cancer?

Prostate Prostate doses typically range from 72 to 80 Gy at 1.8 to 2 Gy per day

What is the most common form of penile cancer?

Squamous cell carcinoma Most malignant penile tumors are well differentiated squamous cell carcinomas.

What is the treatment of choice for testicular cancer?

Surgery

What is the primary treatment option for kidney cancer?

Surgery Radiation and Chemotherapy have limited roles in the management of kidney cancers.

Which of the following cancers is most likely to occur in a 27-year old male?

Testicle

A total dose of 2500 cGy in fractions of 180 cGy is used to treat which male reproductive cancer?

Testicle The recommended dose to retroperitoneal and pelvic lymphatics for stages I and IIA disease is 2500 cGy in fractions of 160 to 180 cGy or 2000 cGy in 10 fractions with anteroposterior/posteroanterior fields given 5 days per week and both fields treated dailey

What is the most common form of bladder cancer?

Transitional cell carcinoma Approximately 92% of bladder tumors are transitional call carcinomas, 6% to 7% are squamous call carcinomas, and 1% to 2% are adenocarcinomas.

What is the most common form of kidney cancer?

Transitional cell carcinoma Transitional cell carcinoma accounts for more than 90% of malignant tumors of the renal pelvis and ureter, and squamous cell carcinoma accounts for 7% to 8%.