Tuesday, December 6, 2016

Tumours testis choriocarcinoma symptoms markers

 Choriocarcinoma
      This accounts for only a small number of the germinal cell tumours, rapidly invading the venous system. Metastases are by blood and lymphatics, relatively unresponsive to chemotherapeutic measures.


10.4 Symptoms
      Pain in scrotum and heaviness are the commonest present ation and should be reported. A physical examination and ultrasound of the testis can reveal a testicular tumour. IVP and CT scan and bipedal lymphangiography can reveal the lymph gland enlargement of para-aortic glands

10.5 Tumour Markers
      In 90% of cases alpha feto-protien or human chorionic gonadotraphis can be detected in the serum and can help diagnosis. The other markers of help are in box.
      -     Placental lactogenic hormone
      -     Pregnancy specific antigens
      -     Placental alkaline phosphatase
      -     Carcinoembryonic antigen

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