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Tumors of the testes MCQ Question with Answer

Tumors of the testes MCQ with detailed explanation for interview, entrance and competitive exams. Explanation are given for understanding.

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Question No : 36
What is false concerning surgical care for testicular cancer patients?

patients in whom retroperitoneal LN dissection (RPLND) reveals viable cancer cells after chemotherapy, subsequent chemotherapy is recommended
surgical resection is recommended for patients with residual disease after chemotherapy
open nerve-sparing RPLND might lead to premature ejaculation
in non-seminoma patients stage I-A, I-B, 1S on long-term surveillance, relapses are expected in 80% of cases within the first year after orchiectomy
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Question No : 37
In testicular cancer patients with residual disease after chemotherapy, what type is found in approximately 45% of resected specimens?

polyembryoma
teratoma
embryonal carcinoma
mixed germ cell tumor
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Question No : 38
What is false concerning testicular germ cell tumors (GCT)?

in a patient with a history of GCTs, the finding of testicular microlithiasis on ultrasonography poses a higher risk of intratubular germ cell neoplasia
occur bilaterally approximately 2% of cases
are extragonadal in 1 - 5%
are more likely to contain embryonal tumor cells than tumors arising in the testis
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Question No : 39
What is false concerning post orchiectomy in clinical stage I seminoma?

active surveillance is recommended for patients with horseshoe kidney
adjuvant chemotherapy with a single dose of carboplatin is recommended as an alternative to radiation therapy
the number of positive nodes dissected dictates the number of chemotherapy cycles to be given
cure is possible after radical orchiectomy alone
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Question No : 40
On managing testicular tumors, testis-sparing surgery is NOT indicated in:

suspected germ cell tumor (GCT) with a normal contralateral testis
in case of bilateral synchronous testicular GCT
suspected benign testicular lesions
suspected GCT of < 2 cm tumor size in a solitary testis
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