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Testicular Self-Exam

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61. Patient Modesty: Volume 89

screening is currently practiced by some physicians in conflict with current evidence. Just as an example from my course document: " In 2011, the USPSTF reaffirmed its earlier recommendation against screening for testicular cancer for asymptomatic male adolescents or adults because of the unlikelihood of benefits from such screening . Self-examination is also not recommended. The Task Force notes that its recommendation is based on the low incidence of testicular cancer and the high survival rate, even (...) when testicular cancer is detected at an advanced stage. More than 90% of newly diagnosed testicular cancers are cured; in 2016, there were 380 deaths caused by testicular cancer, with 8,720 newly diagnosed cases." There is a lot of current more appropriate behavior for us physicians, nurses and others who interact with patients need to be taught and follow. ..Maurice. At , said... At 4:32pm California time today, I find I got a visitor to Volume 89 here from Hinet Taiwan. It would be so

2018 Bioethics Discussion Blog

62. Patient Modesty: Volume 89

screening is currently practiced by some physicians in conflict with current evidence. Just as an example from my course document: " In 2011, the USPSTF reaffirmed its earlier recommendation against screening for testicular cancer for asymptomatic male adolescents or adults because of the unlikelihood of benefits from such screening . Self-examination is also not recommended. The Task Force notes that its recommendation is based on the low incidence of testicular cancer and the high survival rate, even (...) when testicular cancer is detected at an advanced stage. More than 90% of newly diagnosed testicular cancers are cured; in 2016, there were 380 deaths caused by testicular cancer, with 8,720 newly diagnosed cases." There is a lot of current more appropriate behavior for us physicians, nurses and others who interact with patients need to be taught and follow. ..Maurice. At , said... At 4:32pm California time today, I find I got a visitor to Volume 89 here from Hinet Taiwan. It would be so

2018 Bioethics Discussion Blog

63. A Rare Case of the Simultaneous, Multifocal, Metastatic Renal Cell Carcinoma to the Ipsilateral Left Testes, Bladder, and Stomach Full Text available with Trip Pro

was found during workup for hematuria, a stomach lesion during diagnostic endoscopy, and a testicular lesion during self-exam. He underwent transurethral resection of bladder tumor, left inguinal orchiectomy, and upper endoscopic ensnarement. All specimens surprisingly showed RCC by histology and immunostaining. These three sites are rare for RCC metastasis and simultaneous presentation is even rarer, further emphasizing the importance of continuous and careful follow-up in this patient population

2016 Case reports in urology

64. Getting Youth to Check it Out!®: A New Approach to Teaching Self-screening. (Abstract)

Getting Youth to Check it Out!®: A New Approach to Teaching Self-screening. To determine if intervention school students who received skills-based breast self-exam (BSE)/testicular self-exam (TSE) training were more likely than control school students to report higher intentions to perform BSE/TSE, greater BSE/TSE self-efficacy, and actual performance of BSE/TSE.BSE/TSE behaviors, intentions, and self-efficacy were assessed in a high school-based trial (N = 6 schools; 3 schools randomized (...) /condition) using self-reported data at 3 time points (N = 1058, 9 th grade students).At follow-up, intervention students had greater BSE/TSE intentions and self-efficacy than control students. Intervention students were more likely than control students to report monthly BSE (54.8% vs 27.2%, p = .031) and TSE (81.5% vs 31.4%, p = .010).Skills-based interventions with goal setting affect teenagers' self-examination behaviors, intentions, and self-efficacy. Teaching self-screening may empower teenagers

2015 American journal of health behavior Controlled trial quality: uncertain

66. Late Effects of Treatment for Childhood Cancer

patients who survive more than 5 years after their diagnosis. Using SEER data, conditional relative survival up to 25 years after diagnosis was studied in a cohort of adolescent and young adult patients (N = 205,954) diagnosed with a first malignant cancer (thyroid, melanoma, testicular, breast, lymphoma, leukemia, and central nervous system [CNS] tumors). For all cancer types combined, among individuals who survived up to 5 years, subsequent 5-year relative survival exceeded 95% by 7 years after

2012 PDQ - NCI's Comprehensive Cancer Database

68. Infertility (Diagnosis)

with hyperthyroidism. The presence of epicanthus, lower implantation of the ears and hairline, and webbed neck can be associated with chromosomic abnormalities. Carefully evaluate the thyroid gland to exclude gland enlargement or thyroid nodules. Perform a breast examination to evaluate breast development and to seek abnormal masses or secretions, especially galactorrhea. Take the opportunity to educate patients about breast self-examination during the early days of their menstrual cycles. The abdominal (...) that affect fertility include the following categories: Pretesticular: Congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis Testicular: Genetic or nongenetic Posttesticular: Congenital or acquired factors that disrupt normal transport of sperm through the ductal system Factors that affect the fertility of both sexes include the following: Environmental/occupational factors Toxic effects related to tobacco, marijuana, or other drugs

2014 eMedicine.com

69. Ichthyosis, X-Linked (Diagnosis)

of an annoyance than a serious medical problem. Previous Next: Patient Education Instruct patients in techniques for regular self-examination to detect testicular carcinoma. Previous References Wells RS, Kerr CB. Genetic classification of ichthyosis. Arch Dermatol . 1965 Jul. 92(1):1-6. . Elias PM, Crumrine D, Rassner U, et al. Basis for abnormal desquamation and permeability barrier dysfunction in RXLI. J Invest Dermatol . 2004 Feb. 122(2):314-9. . Ramesh R, Bouloux P, Dorkins HR, Ellis R, Buch M, Batta K

2014 eMedicine.com

70. Infertility (Overview)

with hyperthyroidism. The presence of epicanthus, lower implantation of the ears and hairline, and webbed neck can be associated with chromosomic abnormalities. Carefully evaluate the thyroid gland to exclude gland enlargement or thyroid nodules. Perform a breast examination to evaluate breast development and to seek abnormal masses or secretions, especially galactorrhea. Take the opportunity to educate patients about breast self-examination during the early days of their menstrual cycles. The abdominal (...) that affect fertility include the following categories: Pretesticular: Congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis Testicular: Genetic or nongenetic Posttesticular: Congenital or acquired factors that disrupt normal transport of sperm through the ductal system Factors that affect the fertility of both sexes include the following: Environmental/occupational factors Toxic effects related to tobacco, marijuana, or other drugs

2014 eMedicine.com

71. Cryptorchidism (Treatment)

provider or surgeon should evaluate the child at 2-3 weeks and 6-12 months following surgery to determine testis location, size, and viability. When the child reaches puberty, the physician should readdress the potential issues of fertility and testicular cancer and give instructions concerning the boy's monthly testicular self-examination. Previous Next: Complications Complications of orchiopexy are as follows: Inadequate testis position occurs in up to 10% of patients and is due to incomplete (...) androgens. The exact mechanism of action of the increased androgens in testicular descent is not known but may involve effects on the testicular cord or cremaster muscle. hCG is administered via intramuscular injection. Multiple series on the efficacy of hCG have been published; however, because of differences in patient age, treatment schedules, and possible inclusion of retractile testes, very divergent results have been reported. A meta-analysis of hCG treatment of cryptorchidism concluded that hCG

2014 eMedicine.com

72. Spermatocele (Overview)

. They are often incidental findings on testicular self-examination or routine physical examination. As they usually arise from the head of the epididymis, they are found superior to the testicle. They are smooth and spherical and transilluminate on examination. Failure to transilluminate suggests a solid lesion, which warrants further evaluation, including scrotal ultrasonography and possible inguinal exploration. [ , , ] Previous Next: Indications Surgical intervention is not indicated for the incidental (...) recognized for more than 100 years. Treatment for spermatoceles is with sclerotherapy or surgical excision. [ ] In the former, aspiration of the fluid from the spermatocele is followed by injection of a sclerosing agent (eg, polidocanol, 99.5% alcohol, 5% ethanolamine oleate, phenol, tetracycline) to reduce recurrences. [ , , , , ] Surgery consists of spermatocelectomy; microsurgical spermatocelectomy may reduce the risk of epididymal injury, testicular atrophy, and recurrence. [ , ] Pathological

2014 eMedicine.com

73. Cryptorchidism (Overview)

children, as opposed to only 33-65% with bilateral undescended testes. [ , ] Facilitation of testicular self-examination for testicular cancer Males with undescended testis are 40 times as likely to develop as males without undescended testis. [ ] Ten percent of testicular cancer cases involve patients with undescended testis. [ , ] Prepubertal orchiopexy reduces this risk. [ , ] The ability for patients to perform testicular self-examination with the testes in the scrotum is a clear benefit of surgery (...) in 1820 by Rosenmerkal. However, it was not until 1877 that Annandale performed the first successful orchiopexy. [ ] Previous Next: Problem Normal testicular development begins at conception. The testis-determining factor is now identified as the SRY gene (sex-determining region on Y chromosome). The presence of this gene and an intact downstream pathway generally result in testicular formation. At 3-5 weeks' gestation, the gonadal ridge or indifferent gonad develops, and, at 6 weeks' gestation

2014 eMedicine.com

75. Infertility (Treatment)

with hyperthyroidism. The presence of epicanthus, lower implantation of the ears and hairline, and webbed neck can be associated with chromosomic abnormalities. Carefully evaluate the thyroid gland to exclude gland enlargement or thyroid nodules. Perform a breast examination to evaluate breast development and to seek abnormal masses or secretions, especially galactorrhea. Take the opportunity to educate patients about breast self-examination during the early days of their menstrual cycles. The abdominal (...) that affect fertility include the following categories: Pretesticular: Congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis Testicular: Genetic or nongenetic Posttesticular: Congenital or acquired factors that disrupt normal transport of sperm through the ductal system Factors that affect the fertility of both sexes include the following: Environmental/occupational factors Toxic effects related to tobacco, marijuana, or other drugs

2014 eMedicine.com

76. Ichthyosis, X-Linked (Overview)

of an annoyance than a serious medical problem. Previous Next: Patient Education Instruct patients in techniques for regular self-examination to detect testicular carcinoma. Previous References Wells RS, Kerr CB. Genetic classification of ichthyosis. Arch Dermatol . 1965 Jul. 92(1):1-6. . Elias PM, Crumrine D, Rassner U, et al. Basis for abnormal desquamation and permeability barrier dysfunction in RXLI. J Invest Dermatol . 2004 Feb. 122(2):314-9. . Ramesh R, Bouloux P, Dorkins HR, Ellis R, Buch M, Batta K

2014 eMedicine.com

78. Infertility (Follow-up)

with hyperthyroidism. The presence of epicanthus, lower implantation of the ears and hairline, and webbed neck can be associated with chromosomic abnormalities. Carefully evaluate the thyroid gland to exclude gland enlargement or thyroid nodules. Perform a breast examination to evaluate breast development and to seek abnormal masses or secretions, especially galactorrhea. Take the opportunity to educate patients about breast self-examination during the early days of their menstrual cycles. The abdominal (...) that affect fertility include the following categories: Pretesticular: Congenital or acquired diseases of the hypothalamus, pituitary, or peripheral organs that alter the hypothalamic-pituitary axis Testicular: Genetic or nongenetic Posttesticular: Congenital or acquired factors that disrupt normal transport of sperm through the ductal system Factors that affect the fertility of both sexes include the following: Environmental/occupational factors Toxic effects related to tobacco, marijuana, or other drugs

2014 eMedicine.com

79. Breast Cancer, Male

), recommendations include monthly breast self-examinations, semiannual clinical breast examinations, and baseline followed by yearly mammography if gynecomastia or breast density are seen. [ ] See the image below. A partially circumscribed retroareolar mass in a male with suspicious microcalcifications; this is known breast cancer. For excellent patient education resources, visit eMedicineHealth's . Also, see eMedicineHealth's patient education articles , , and . Next: Radiography On mammography, male breast (...) , obesity, cirrhosis, exogenous estrogen therapy, testicular abnormality), and radiation exposure. [ , ] Male breast cancer is most commonly invasive ductal or ductal carcinoma in situ (DCIS). [ ] Male breasts lack terminal ductal lobular units, thus lobular carcinoma is extremely rare except in cases of estrogen exposure. The majority of male breast cancers are estrogen and progesterone receptor positive, like in female breast cancer. However, male breast cancer is 3 times less likely to be HER2

2014 eMedicine Radiology

80. Breast Implants, Silicone: Safety and Efficacy

that the mammographer can minimize the amount of breast that is hidden by an implant. Approximately 9% to more than 20% of breast cancers in all women are invisible on radiographs. Despite the increasing use of mammography, most breast cancers still are discovered by self-examination or physician examination. Many clinicians believe that the presence of an implant can increase the ease of palpation. To date, no cases have been documented in the medical literature in which a diagnosis of breast cancer was delayed (...) with the medication depending on the lipid characteristics of the drug used. Because insulin binds to silicone, extrapolative calculations suggest that patients with type I diabetes may inject as much as 25-30 g of silicone over a lifetime. In its solid form, silicone elastomers are used for pacemaker coatings, tubing, prosthetic joints, hydrocephalus shunts, and penile implants, and as the envelope for Norplant and other implanted drug-delivery systems. Some testicular and chin implants are similar to breast

2014 eMedicine Surgery

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