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TUMORES TESTICULARES

TUMORES TESTICULARES. Tumor Testicular. Hombres jovenes 18-30 años 5 por 100.000 varones Origen en celulas gonadales ( germinales). Tumor Testicular. Síntomas: Hallazgo Aumento de volumen duro, pesado. No hay compromiso de piel ni cordón. Generalmente indoloro. Tumor Testicular.

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TUMORES TESTICULARES

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  1. TUMORES TESTICULARES

  2. Tumor Testicular • Hombres jovenes 18-30 años • 5 por 100.000 varones • Origen en celulas gonadales ( germinales)

  3. Tumor Testicular Síntomas: • Hallazgo • Aumento de volumen duro, pesado. • No hay compromiso de piel ni cordón. • Generalmente indoloro.

  4. Tumor Testicular Anatomía Patológica: • - SEMINOMAS: • - NO SEMINOMAS: Teratoma Teratocarcinoma Carcinoma embr. Coriocarcinoma • - MIXTOS.

  5. Tumor testicular DIAGNOSTICO: -Clínica: examen genital • palpación abdominal (masas) • examen de mamas (ginecomastía) • hueco supraclavicular -Marcadores Tumorales: -αFP: < 10 ng/ml -β hGC: < 5 mUI/ml -Ecotomografía Testicular

  6. Tumor Testicular ETAPAS: • -A: Localizado en testiculo • -B1: ganglios retroperitoneales - 2cm. • -B2: Ganglios retroperitoneales 2-5cm. • -B3: Ganglios retroperitoneales + 5cm. • -C: Metástasis sobre el diafragma.

  7. Tumor Testicular ETAPIFICACION: • -Rx de Tórax (TAC) • -TAC de abdómen y pelvis

  8. Tumor testicular: TRATAMIENTO: • -1era etapa: Orquiectomía Radical Dependiendo de Anatomía patològica: • -Seminoma A,B1,B2: Cobaltoterapia • -Seminoma B3,C: Quimioterapia • -No Seminoma A, B1, B2: LALA+ Quim • No Seminoma B3,C: Quimio, obs LALA

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