Testicular Cancer Case Studies

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

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Testicular Cancer Case Studies

A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. Thisfinding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old.

Studies

Results

Routine laboratory studies

Within normal limits (WNL)

Ultrasound the testicle

Solid mass, right testicle associated with calcifications

page1image13000

HCG (human chorionic gonadotropin)

550mIU/mL (normal: <5)

CT scan of the abdomen

Enlarged retroperitoneal lymph nodes

CT scan of the chest

page1image20080

Multiple pulmonary nodules

Diagnostic Analysis

At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.

Critical Thinking Questions

  1. What impact did an undescended testicle have on this young man’s risk for developingtesticular cancer?
  2. What might be the side effects of cytotoxic chemotherapy?
  3. What was the purpose of preserving his sperm before chemotherapy?
  4. Is this young man’s age typical for the development of testicular carcinoma?

 

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