159 - Testicular cancer Mcqs with answers - part 1

1q: all of the following are true about testicular cancer except ?


a. primary germ cell tumors ( GCTs ) of the testis constitute 95 % of all testicular neoplasms .
b. about 95 % of newly diagnosed patients are cured
c. very rarely the GCTs can even arise from the pineal gland
d. the tumor occurs most frequently in men between the ages of 40 and 60
e. higher incidence has been observed in Scandinavia and newzealand than USA

answer d . the tumor occurs most frequently in men between 20 and 40 years of age and not 40 and 60 years

2q: which of the following statements about testicular cancer is false ?


a. a testicular mass in a male of age greater than or equal to 50 years of age should be regarded as lymphoma unless proved otherwise .
b. GCTs are 4 or 5 times more common in whites than in african-american males
c. The incidence of the testicular GCTs has been decreasing lately
d. Cryporchidism is associated with a several fold higher risk of GCT
e. Inguinal cryptorchid testis are at a higher risk than abdominal cryptorchid testis

answer e , is a wrong statement because abdominal cryptorchid testis are at higher risk of developing into cancer than inguinal cryptorchid testis

3q: an isochromosome of the short arm of which chromosome is pathognomonic of GCT?


a. 11
b. 12
c. 13
d. 14

answer b . 12th chromosome

4q: involvement of nodes in germ cell tumor of testes belongs to which stage ?


a. I A
b. I B
c. II A
d. III

answer c . stage IIA, IIB, IIC involves nodes


click here to view a table explaining the staging of Germ cell tumors of testis ( testicular cancer ) and treatment given according to the stage . 

5q: involvement of the spermatic cord in germ cell tumor of testis belongs to which stage?


a. I A – T1
b. I B – T2
c. I B – T3
d. I B – T4

answer C. I B – T3 . IA – T1 involves testis only without any vascular or lymphatic invasion . I B – T2 involves testis only with lymphatic and vascular involvement or involvement of tunica albuginea . I B – T4 involves testis along with the scrotum .