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Testicular Self-Exam

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61. Breast Cancer Screening (PDQ®): Health Professional Version

, there is still insufficient evidence to conclude a mortality benefit.[ - ] Breast self-exam has been shown to have no mortality benefit. No results have been published on the outcomes of incidence or mortality for CBE. Technologies such as ultrasound, magnetic resonance imaging, and molecular breast imaging are being evaluated, usually as adjuncts to mammography, and are not primary screening tools in the average population. Informed medical decision making is increasingly recommended for individuals who (...) , population based. Internal and External Validity : Good. Consistency : Fair. Breast Self-Examination (BSE) Benefits BSE has been compared with no screening and has been shown to have no benefit in reducing breast cancer mortality. Magnitude of Effect : No effect.[ , ] Study Design : Two RCTs. Internal Validity and Consistency : Fair. External Validity : Poor. Harms There is solid evidence that formal instruction and encouragement to perform BSE leads to more breast biopsies and more diagnoses of benign

2016 PDQ - NCI's Comprehensive Cancer Database

62. Late Effects of Treatment for Childhood Cancer (PDQ®): Health Professional Version

, 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 diagnosis. According to this study, most adolescent and young adult cancer patients who

2016 PDQ - NCI's Comprehensive Cancer Database

63. Skin Cancer Screening (PDQ®): Health Professional Version

, including both self-examination and clinical examination. Benefits The evidence is inadequate to determine whether visual examination of the skin in asymptomatic individuals leads to a reduction in mortality from melanomatous skin cancer. Further, in asymptomatic populations, the effect of visual skin examination on mortality from nonmelanomatous skin cancers is unknown. Magnitude of Effect : Unknown. Study Design : Direct evidence limited to a single ecologic study. Internal Validity : Poor (...) adults aged 50 years and older; however, data from the same time period indicate that incidence rates decreased by 1.2% per year in individuals younger than 50 years.[ ] From 2013 to 2017, mortality rates declined by 5.7% per year in individuals aged 50 years and older and declined by 7.0% per year in individuals younger than 50 years.[ ] The long-term rise in incidence rates is caused, at least in part, by screening in clinical settings and self-examination resulting from campaigns to increase skin

2016 PDQ - NCI's Comprehensive Cancer Database

65. Late Effects of Treatment for Childhood Cancer (PDQ®): Patient Version

for lumps or anything else that seems unusual. It is suggested that women treated with a higher dose of radiation therapy to the chest do a monthly breast self-exam beginning at until age 25 years. Women who were treated with a lower dose of radiation to the chest may not need to begin checking for breast cancer at puberty. Talk to your doctor about when you should begin breast self-exams. (CBE) : An exam of the breast by a doctor or other health professional. The doctor will carefully feel the breasts

2016 PDQ - NCI's Comprehensive Cancer Database

66. Pre-participation Exam

and ankle (unstable) (Recurrent dislocation) Assess elbow stability Painful disease IX. Exam: Neurologic Gross coordination X. Exam: Genitourinary Male s Single unpaired ( ) Testicular Masses Tanner stage See in Boys Discuss Self- exam peak in age 18-35 years XI. Exam: Genitourinary Female No longer done routinely with now Schedule separate gynecologic exam if indicated Ask about ( ) or Menstrual dating See in Girls XII. References Images: Related links to external sites (from Bing) These images

2018 FP Notebook

67. 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

68. 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

70. HIV/STI Prevention Among Black Adolescents With Mental Illnesses (Project GOLD)

: General Health Control Intervention Two-session, small group general health promotion intervention. Behavioral: General Health Control Intervention The original Promoting Health among Teens (PHAT) Project was designed to increase knowledge and motivation regarding healthful dietary practices, aerobic exercise, and breast and testicular self-examination, and to discourage cigarette smoking. The 8-hour, 2-session PHAT intervention was shortened to mirror the Project GOLD HIV/STI risk reduction

2017 Clinical Trials

71. 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

72. 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

74. 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

75. 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

76. 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

77. 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

78. Bone Marrow Transplantation, Long-Term Effects (Diagnosis)

exposure. Perform breast self-examination. Perform skin self-examination. Eat high-fiber foods and foods with vitamins A and C. Decrease fat in the diet. Have an annual professional dermatology exam. Endocrinopathies Obtain thyroid-stimulating hormone (TSH) and free T4 levels annually for those who received TBI. Measure annual growth velocity. (If abnormal, evaluate with provocative testing.) Monitor secondary sex characteristics (eg, menses and follicle-stimulating hormone [FSH] and luteinizing (...) was 2.1 and seemed to decrease over time. All of the second malignancies were solid tumors, and 9 of them were meningiomas. [ ] Overall, the risk of developing a second malignancy from growth hormone therapy remains unclear and should be weighed against the benefits in childhood cancer survivors. Gonadal dysfunction High-dose alkylator and radiation therapy used as conditioning for HSCT invariably affect ovarian and testicular function. When discussing gonadal dysfunction, 2 distinct aspects must

2014 eMedicine Pediatrics

79. Disorders of the Breast (Diagnosis)

with a positive family history. [ ] Screening guidelines for patients with a history of atypia on breast biopsy findings are still evolving. In adults, current recommendations include yearly physician examinations and yearly mammography. [ ] Patients should be aware of the limitations and should be taught how to perform self-examinations on their breasts. No data indicate that the additive radiation from mammography increases the risk of breast cancer. These recommendations should be followed in children (...) . [ ] The differential diagnosis for gynecomastia includes the following: Testicular feminization Hormone-secreting tumors Drug use (eg, cimetidine, marijuana) Familial predisposition Previous Next: Malignant Breast Disease in Children and Adolescents Malignant breast disease is uncommon in children and in adolescents. Risk factors for breast malignancies include the following: History of familial breast cancer Previous benign disease associated with malignancy (ie, fibrocystic changes with atypia) Other

2014 eMedicine Pediatrics

80. Cryptorchidism (Diagnosis)

of surgery (before age 1 year) and the benefits of early surgical intervention. The patient and his family should be informed about the risks of infertility and malignancy. Self-examination after the onset of puberty should be discussed as very important for the early diagnosis and successful treatment of testicular cancer. Previous References Braga LH, Lorenzo AJ. Cryptorchidism: A practical review for all community healthcare providers. Can Urol Assoc J . 2017 Jan-Feb. 11 (1-2Suppl1):S26-S32 (...) the 0.3-0.7% reported in the healthy population. The most common tumor in an undescended testis is a , whereas the most common tumor after successful orchiopexy is . Approximately 20% of these tumors occur in a contralateral descended testis. Carcinoma in situ occurs in approximately 0.4% of patients undergoing orchiopexy. Orchiopexy is not protective against subsequent testis cancer but does place the testis in a favorable position for routine self-examination, which is important in the early

2014 eMedicine Pediatrics

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