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Path Male Genitals

cryptorchidism 4% of newborns no descent of the testes ( increased risk of germ cell tumor and infertility)
Testicular torsion testis twist on their cord resulting in hrmorrhagic infarct and venous occlusion violence
Paradoxical torsion during sleep
Varicocele venous plexus enlarges resulting in increased blood flow and infertility?
Hydrocele intestines in the testis
all germ cell testiculular tumors have the word? seminoma
Seminoma most common yellow tan with no necrosis INCREASED HCG
Anaplsatic seminoma more pleomorphic with more metosis form ALL are radiation sensitive Increased HCG
Spermatocytic Seminoma more differenticated NEVER MIXED with no counterpart and almost NEVER mets
ovarian counterpart to testicular seminoma Dysgerminoma
Embryonal cell carcinoma pleomorphic hemorrhagic and necrotic
Polyembryona cell carcinoma embryonal cell carinoma with many embryo like structures that is VERY METASTATIC via lymphatics and hamatagenous routes
Yolk sac Tumor like ovarian named via Schiller duval bodies and Secretes Alpha feto protein common in young boys as pure and older men as mixed
schiller duval bodies resemble rat embryos found in yolk sac tumors of the ovary and testes
yolk sac tumors are mostly mixed with? embryonal cell tumors
Teratoma if prepuberty benign if post think malignant
Teratocarcinoma a mix of embryonal and teratoma tumors
choriocarcinoma PURE RARE FATAL- need cytotrophoblast and syncytiotrophoblast with hemorrhage and necrosis in young with HEMOPTYSIS and HCG producted
Mixed Choriocarcinoma exception to the rule any mixing makes this better . reactive to treatment but very destructive so that it is still possible to cause mortality
Mixed Germ Cell Carcinoma 1/2 will be mixed very common take prognosis of worse except with choriocarcinoma
Stromal Tumors Leydig and Sertoli cells may be hormonally active often benign
Congenital Penile diseases hypospadius (ventr) epispadius (dorsal) phimosis(small prepuce) Paraphimosis (forced over prepuce)
Infections of the penis balanoposthitis, peyronies, priapism
Condylomas of the penis condyloma lata and giant condyloma of Buschke lowenstein
Carcinoma in situ of the penis aka erythroplasia of queyrat or Bowens pink red velvety plaques that are hyperchromatic and have atypical mitotic figures NO METS POTENTIAL
Bowenoid papulosis in young boys does not seem to progress
concyloma lata secondary syphilis (NOT VIRAL)
Giant condyloma of buschke lowenstein well differentiated verrucous SCC
Balanoposthitis non specific inf of staph or strep
Peyronie proliferation of fibrotic tissue results in curvature w/erection
Priapism persistant erection
Congenital problems with the prostate Stenotic urethral valve resulting in hydronephrosis and failure
Nodular hypeplasia dilation of the prostate common with advancing age 90% in men over 70 AFFECTS THE CENTRAL PORTION
how do you treat Nodular and etiology from imbalance of testosterone resulting in hyperplasia treat with 5 alpha reductase to block testoster conversion to dihydrotestosteron
Adenocarcinoma most common carcinoma in men rare before age 50 affects the periphery of the prostate which is why a rectal exam is so important can be treated with follow up alone
Created by: jmuame03