Path Male Genitals
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cryptorchidism | 4% of newborns no descent of the testes ( increased risk of germ cell tumor and infertility)
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Testicular torsion | testis twist on their cord resulting in hrmorrhagic infarct and venous occlusion violence
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Paradoxical torsion | during sleep
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Varicocele | venous plexus enlarges resulting in increased blood flow and infertility?
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Hydrocele | intestines in the testis
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all germ cell testiculular tumors have the word? | seminoma
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Seminoma | most common yellow tan with no necrosis INCREASED HCG
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Anaplsatic seminoma | more pleomorphic with more metosis form ALL are radiation sensitive Increased HCG
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Spermatocytic Seminoma | more differenticated NEVER MIXED with no counterpart and almost NEVER mets
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ovarian counterpart to testicular seminoma | Dysgerminoma
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Embryonal cell carcinoma | pleomorphic hemorrhagic and necrotic
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Polyembryona cell carcinoma | embryonal cell carinoma with many embryo like structures that is VERY METASTATIC via lymphatics and hamatagenous routes
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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
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schiller duval bodies | resemble rat embryos found in yolk sac tumors of the ovary and testes
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yolk sac tumors are mostly mixed with? | embryonal cell tumors
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Teratoma | if prepuberty benign if post think malignant
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Teratocarcinoma | a mix of embryonal and teratoma tumors
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choriocarcinoma | PURE RARE FATAL- need cytotrophoblast and syncytiotrophoblast with hemorrhage and necrosis in young with HEMOPTYSIS and HCG producted
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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
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Mixed Germ Cell Carcinoma | 1/2 will be mixed very common take prognosis of worse except with choriocarcinoma
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Stromal Tumors | Leydig and Sertoli cells may be hormonally active often benign
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Congenital Penile diseases | hypospadius (ventr) epispadius (dorsal) phimosis(small prepuce) Paraphimosis (forced over prepuce)
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Infections of the penis | balanoposthitis, peyronies, priapism
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Condylomas of the penis | condyloma lata and giant condyloma of Buschke lowenstein
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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
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Bowenoid papulosis | in young boys does not seem to progress
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concyloma lata | secondary syphilis (NOT VIRAL)
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Giant condyloma of buschke lowenstein | well differentiated verrucous SCC
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Balanoposthitis | non specific inf of staph or strep
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Peyronie | proliferation of fibrotic tissue results in curvature w/erection
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Priapism | persistant erection
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Congenital problems with the prostate | Stenotic urethral valve resulting in hydronephrosis and failure
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Nodular hypeplasia | dilation of the prostate common with advancing age 90% in men over 70 AFFECTS THE CENTRAL PORTION
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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
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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
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