Accepted at 6:42 p.m. Oct, 31, 2023 by Joe
Author: Jonny.Desposorio
Related Note: 1505849451028 1
Rationale for change

Specifying "radical inguinal orchiectomy" (v radical orchiectomy) reinforces the concept that scrotal incisions are avoided due to risk of recurrence via spread through the lymphatic system.

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- Initially diagnosed with a scrotal ultrasound with elevated tumor markers
- DO NOT BIOPSY (due to risk of seeding)

Testicular cancer:
- Presents as a painless testicular mass
- Biopsy with a radical orchiectomy inguinally, (α-fetoprotein & β-hCG) for follow-up

Additional therapy:
- Radiation (seminoma)
- Chemotherapy (most testicular cancers)
- Retroperitoneal lymph node dissection (RPLND; mostly non seminomas)

Photo Credit: Cancer Research UK, CC BY-SA 4.0, via Wikimedia Commons
Lecture Notes
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Watch Testicular Disorders & Cancer
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Additional Resources




do NOT biopsy → risk of seeding (C-E)
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