Chapter 032 : Surgery of Testicular Tumors

chapter-032-surgery-of-testicular-tumors

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Question 1 of 1

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422191

120

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A 23-year-old man undergoes a right orchiectomy for seminoma followed by chemotherapy for a 10-cm retroperitoneal mass. His tumor markers are normal both before and after treatment. After treatment his mass is 5 cm. Which of the following statements is TRUE?

Select the correct answer(s).

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422192

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Which of the following is TRUE regarding testicular anatomy?

Select the correct answer(s).

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422193

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A 19-year-old man presents with a 5-cm para-aortic mass. Needle biopsy of the mass reveals a nonseminomatous germ cell tumor (NSGCT). He is given four cycles of etoposide- cisplatin chemotherapy. The left testes, which had a 2-cm mass before treatment, is now without any abnormality on ultrasound or physical examination and his tumor markers have normalized. Which of the following is appropriate treatment of his testes?

Select the correct answer(s).

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422194

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Which of the following is the most common site for late recurrence of NSGCT?

Select the correct answer(s).

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422195

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Which of the following associations is correct when describing the events of ejaculation?

Select the correct answer(s).

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422196

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During postchemotherapy RPLND each of the following structures can be ligated without attendant morbidity EXCEPT the:

Select the correct answer(s).

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422197

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Which of the following is NOT correct regarding laparoscopic RPLND?

Select the correct answer(s).

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422198

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A 23-year-old man undergoes right orchiectomy for a mixed NSGCT without vascular invasion. Results of physical examination and CT of the chest, abdomen, and pelvis are normal, and the patient’s preoperative human chorionic gonadotropin (hCG) value is elevated and remains elevated after orchiectomy. Which of the following is the most appropriate treatment?

Select the correct answer(s).

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422199

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A 33-year-old man undergoes left orchiectomy for NSGCT and his serum tumor markers normalize. Imaging reveals a 2-cm mass in the para-aortic region, and he undergoes primary RPLND. During the operation excessive bleeding leads to an incomplete resection. Pathology reveals four positive lymph nodes, the largest of which measures 3.5 cm with extranodal extension. Which of the following is the most appropriate therapy?

Select the correct answer(s).

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Abnormal fertility in testicular cancer patients is associated with all of the following EXCEPT:

Select the correct answer(s).

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Which of the following is the strongest risk factor for postoperative pulmonary complications in bleomycin- treated patients?

Select the correct answer(s).

(0/0)

422202

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A 25-year-old man undergoes four cycles of etoposide- cisplatin for stage IIB NSGCT. Postchemotherapy CT of the chest, abdomen, and pelvis is normal. There was no teratoma in the primary tumor. What is the probability of residual teratoma or viable cancer in the retroperitoneum?

Select the correct answer(s).

(0/0)

422203

120

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Which of the following is the most common adjunctive procedure performed during postchemotherapy RPLND?

Select the correct answer(s).

(0/0)

422204

120

none

Which of the following is TRUE regarding resection of residual thoracic disease after chemotherapy for NSGCT?

Select the correct answer(s).

(0/0)

422205

120

none

A 21-year-old man undergoes four cycles of etoposide- cisplatin after right-sided orchiectomy for mixed NSGCT. During postchemotherapy RPLND the para-aortic lymph nodes above the inferior mesenteric artery reveal viable GCT on frozen section. The remainder of the dissection should include:

Chapter 032 : Surgery of Testicular Tumors

Question 1 of 1

Time Left

A 23-year-old man undergoes a right orchiectomy for seminoma followed by chemotherapy for a 10-cm retroperitoneal mass. His tumor markers are normal both before and after treatment. After treatment his mass is 5 cm. Which of the following statements is TRUE?

Select the correct answer(s).

(0/0)

Which of the following is TRUE regarding testicular anatomy?

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Which of the following is the most common site for late recurrence of NSGCT?

Select the correct answer(s).

(0/0)

Which of the following associations is correct when describing the events of ejaculation?

Select the correct answer(s).

(0/0)

During postchemotherapy RPLND each of the following structures can be ligated without attendant morbidity EXCEPT the:

Select the correct answer(s).

(0/0)

Which of the following is NOT correct regarding laparoscopic RPLND?

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Abnormal fertility in testicular cancer patients is associated with all of the following EXCEPT:

Select the correct answer(s).

(0/0)

Which of the following is the strongest risk factor for postoperative pulmonary complications in bleomycin- treated patients?

Select the correct answer(s).

(0/0)

A 25-year-old man undergoes four cycles of etoposide- cisplatin for stage IIB NSGCT. Postchemotherapy CT of the chest, abdomen, and pelvis is normal. There was no teratoma in the primary tumor. What is the probability of residual teratoma or viable cancer in the retroperitoneum?

Select the correct answer(s).

(0/0)

Which of the following is the most common adjunctive procedure performed during postchemotherapy RPLND?

Select the correct answer(s).

(0/0)

Which of the following is TRUE regarding resection of residual thoracic disease after chemotherapy for NSGCT?

Select the correct answer(s).

(0/0)

A 21-year-old man undergoes four cycles of etoposide- cisplatin after right-sided orchiectomy for mixed NSGCT. During postchemotherapy RPLND the para-aortic lymph nodes above the inferior mesenteric artery reveal viable GCT on frozen section. The remainder of the dissection should include:

Select the correct answer(s).

(0/0)

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