Male genital pathology

Card Set Information

Author:
Anonymous
ID:
270184
Filename:
Male genital pathology
Updated:
2014-04-11 10:14:29
Tags:
Pathology
Folders:
pathology
Description:
Male genital cases
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user Anonymous on FreezingBlue Flashcards. What would you like to do?


  1. A newborn male has an opening of his urethra on the ventral aspect of his penis. What is this called and what other 2 anomalies would you look for?
    Hypospadia. Inguinal hernia, undescended testes.
  2. A newborn male has an opening of his urethra on the dorsal aspect of his penis. What is this called?
    Epispadia.
  3. A 19 year old man presents with local inflammation of the glans penis. There is some pus. What are the 4 most common causes of balanitis and what complication should you be wary of?
    Candida albicans, anaerobic bacteria, gardnerella, pyogenic bacteriae. Phimosis.
  4. A male uncircumsized 43 year old presents with a solitary plaque on the shaft of the penis. Hisology shows morphologically malignant cells throughout the epidermis. There is no invasion of the underlying stroma. What is this, and what is its sequalae?
    Squamous cell carcinoma in situ. Squamous cell carcinoma.
  5. A male uncircumsized 47 year old presents with a gray, crusted, papular lesion on the prepuce. It is indurated, ulcerated and has irregular margins. Hisology shows a typical keratinizing lesion. What is this?
    Invasive squamous cell carcinoma.
  6. A 45 year old man presents with a white, wide based plaque on his penis. Histology show papillary architecture, no cytologic atypia and rounded, pushing deep margins. What is this and how invasive is it?
    Verrucous carcinoma. Locally invasive but do not metastasize.
  7. A 43 year old man presents with scrotal enlargement. The enlargement is transluminescent. What is this and what are the 2 most common causes?
    Hydrocele. Infection, neighbouring tumour.
  8. A 29 year old man presents with painful scrotal enlargement. The enlargement is transluminescent. What is this and in which compartment is it?
    Hydrocele. Inside the tunica vaginalis.
  9. A 1 year old baby presents with bilateral impalpable testicles. What is this and what are the 3 complications associated?
    Cryptorchidism. Sterility, testicular cancer.
  10. A 13 month old male presents with unilaterally undescended testes. What operation may be performed?
    Orchiopexy.
  11. A 15 year old male presents with differently sized testes. At the age of 1 he had an orchidopexy for left sided cryptorchidism. What is the cause of his differently sized testes?
    Tubular atrophy.
  12. A 29 year old man presents with swollen, tender testis. A week ago he had a UTI. Infiltrate is drained and shows a neutrophilic inflitrate.
    What is the diagnosis?. nonspecific epididymitis.
  13. A 20 year old man presents with parotid enlargement and a rash. He has also noticed some testicular soreness. Testes are oedematous and have a lymphoplasmacytic inflammatory infiltrate. What might you consider?
    Mumps.
  14. A male baby is born with a firm, enlarged scrotum. An ultrasound is equivocal. What should you consider?
    Neonatal torsion.
  15. A 19 year old man presents with a sudden onset of testicular pain, which has awakened him from sleep. There is no causative injury. An ultrasound confirms diagnosis. What is the diagnosis?
    Adult testicular torsion.
  16. A 23 year old male presents with a testicular lump. Histology confirms a Sertoli cell tumour. What is prorgnosis?
    Sex cord-stromal tumours are usually benign.
  17. A 47 year old male with a history of neonatal cryptorchidism presents with a testicular lump. hCG is raised. Gross morphology shows a soft, well-demarcated, gray white mass. Histology shows sheets of uniform polygonal cells with clear cytoplasm. There are lymphocytes in the stroma. What is the diagnosis?
    Seminoma.
  18. A 27 year old mmale presents with a testicular lump which is painless. Tumour markers are negative. The mass is ill-defined and invasive, with foci of haemorrhage and necrosis. Histology shows a poorly diffrentiated mass, with pleomorphic cells in cords and sheets. There are some yolk sac cells. What is the diagnosis?
    Embryonal carcinoma.
  19. A 3 year old boy presents with a testicular lump/. AFP is raised. Histology shows poorly differntiated columnar cells. What is the diagnosis?
    Yolk sac tumour.
  20. A 29 year old male presents with a postiive pregnancy test. Histology shows cytotrophoblast and syncytiotrophoblast without villus formation. What is the diagnosis?
    Choriocarcinoma.
  21. A 42 year old male presents with a testicular lump. Histology shows tissues from all three germ cell layers. There ar different degrees of differentiation. What is the diagnosis?
    Teratoma. Can occur in all age groups.
  22. A 22 year old male presents with a testicular lump. hCG and AFP are elevated. There is a mixture of different cell types. What is the diagnosis?
    Mixed tumour.
  23. A 43 year old male presents with a scrotal mass. hCG is negative. Macroscopically, there is a grey-white mass which bulges from the cut surface of the testes. Munder the microscope, the cells are large and uniform with distinct cell borders, and clear, glycogen rich cytoplasm. There are rouond nuclei wi. What is the diagnosis?
    Seminoma.
  24. A 68 year old male presents with a testicular lump. Histology shows polygonal cells of variable size in nodules. There is no lymphocytic infiltrate, granuloma or syncytiotrophoblast. What is the diagnosis?
    Spermatocytic seminoma.
  25. A 21 year old male presents with shortness of breath. CXR shows lesions. Tumour markers are negative. Histology shows large, primitive-looing cells with basophilic cytoplasm, indistinct cell borders and large neclei with prominent nucleoli. These cells are in primitive glandular structures. There are other c. What is the diagnosis?
    Embryonal carcinoma metastasis.
  26. A 3 year old boy presents with a large testicular lump. This lump is large and well-demarcated. Histology shows low cuboidal epithelial cells forming microcysts, reticular patterns. There are structures resembling primitive glomeruli, 'Schiller-Duvall' bodies. Tumours stain positive for A1-antitrypsin and AFP. What is the diagnosis?
    Yolk sac tumour.
  27. A 2 year boy presents with a large testicular lump. The handover document simply comments 'Schiller-Duvall' bodies. What is the diagnosis?
    Yolk sac tumour.
  28. A 29 year old man presents with shortness of breath. A testicular lump is not palpable. Histology shows sheets of small cuboidal cells, mingled with large eosinophilic syncytial cells. hCG is raised. What is the diagnosis and prognosis?
    Choriocarcinoma. Poor.
  29. A 81 year old male presents with a firm testicular mass. Macroscopy shows a firm mass which contains cysts and recognisable cartilage. What is the likely diagnosis and what are the chances of malignancy?
    Teratoma. High.
  30. A 14 year old male presents with a firm testicular mass which is non-translucent. Macroscopy shows a firm mass which contains cysts and recognisable cartilage. What is the likely diagnosis and what are the chances of malignancy?
    Teratoma. Low.
  31. A 41 year old male presents with a firm painless testicular mass which is non-translucent. What is management?
    Radical orchidectomy, baseed on presumption of malignancy.
  32. A 40 year old male presents with a painless testicular mass. He has enlarged iliac lymph nodes. CXR is clear. What is this likely to be and what is treatment?
    Seminoma. Radiotherapy.
  33. A 30 year old male presents with a painless testicular mass. CXR shows lung metastases. What class of tumour is this likely to be and where else should you look for metastases?
    Non-seminomatous. liver.
  34. . Where do most hypoplastic lesions in the prostate arise from?
    Inner transition zone.
  35. . Where do most carcinomas arise from in the prostate?
    Peripheral zone.
  36. A 71 year old man presents with fever, chills and dysuria. Rectal exam shows a boggy, exquisitely tender prostate. What is the likely diagnosis?
    Acute bacterial prostatis.
  37. A 46 year old man presents with recurrent UTIs, with interim asymptomatic periods. He has low back pain, dysuria and some suprapubic discomfort. Urine culture shows bacteriae. What is the likely diagnosis and causative organism?
    Chronic bacterial prostitis. e. coli.
  38. A 46 year old man presents with recurrent UTIs, with interim asymptomatic periods. He has low back pain, dysuria and some suprapubic discomfort. Urine culture shows no bacteriae. What is the likely diagnosis and management?
    Chronic nonbacterial prostatis. supportive management.
  39. An 82 year old male presents with nocturia, hesitency, frequency. Rectal exam shows a n enlarged, nodular prostate. Biopsy of a nodule shows proliferating glandular elements which are lined by tall, columnar epithelial cells. The glandular lumen contains 'corpora amylacea'. There are also cysts. What is the likely diagnosis and management?
    Benign prostatic hyperplasia. alpha-adrenergic blockers.
  40. A 62 year old man presents with dysuria, hesitancy and frequency. PSA is equivocal. A biopsy performed shows moderately differntiated cells with small glands. There is no basal cell layer to the lands. Glands are crowded together and lack branching and papillary infolding. Many cells have dark cytoplasm. What is the likely diagnosis?
    Prostate adenocarcinoma.
  41. An 81 year old male dies with shortness of breath, of unknown cause. Autopsy shows that the prostate contains firm, gray white lesions with ill defined margins, which are located in the peripheral zone. What is the likely diagnosis?
    Prostate adenocarcinoma.
  42. A 69 year old male presents with hesitancy and frequence. Rectal examination is normal. PSA is raised, but is not raised on second reading. What were the most likely causes for a raised PSA?
    BPH, prostitis, instrumentation, ejaculation.
  43. A 65 year old male presents with hesitancy, frequency and dysuria. PSA is raised and is rising on the second reading. What is the most likely cause of this?
    Prostate adenocarcinoma.
  44. A 4 month old cihld presents with hydronephrosis. What is the most likely cause of this?
    Ureteropelvic junction obstruction.
  45. A 45 year old male presents with hydronephrosis. He has no drug history. Biopsy shows a fibrous proliferative inflammatory mass which encases the retroperitoneal structures. There is no evidence of lymphoma. What is the most likely cause of this and what is it called?
    Retroperitoneal fibrosis. Ormond disease (idiopathic).
  46. A 72 year old male with a history of BPH presents with chronic outflow obstruction. Ultrasound shows invaginations of the bladder wall. What is this and what 2 complications can they have?
    Bladder diverticulum. Urinary stasis, infection.
  47. A 34 year old man is receiving cyclophosphamide chemotherapy for lymphoma. He has developed brown urine. Urine dipstick is very positive for blood. What are you concerned about?
    Haemorrhagic cystitis.
  48. A 39 year old male presents with dark urine, a week after having a mild cold. Urine dipstick is very positive for blood. What is the most likely cause and causative organism?
    Haemorrhagic cystitis. Adenovirus.
  49. A 45 year old woman presents with intermittent, severe suprapubic pain. She also comments that she has frequency, urgency and dark urine. Urine dipstick finds blood, no sign of infection. Cystoscopy finds fissures and punctate haemorrhages. What is the cause and what complications may occur?
    Interstitial cystitis. Transmural fibrosis causing a contracted bladder.
  50. A 72 year old man presents with painless haematuria. He is a smoker. Cystoscopy shows a polyp which resembles coral. Cytology shows malignancy, biopsy shows high grade. What kind of malignancy is most likely?
    Urothelial carcinoma.
  51. A 72 year old man presents with haematuria. He has a history of schistosomiasis. Biopsy of a bladder polyp shows extensive keratinization. What kind of malignancy is most likely?
    Squamous cell carcinoma.
  52. A 68 year old male presents with a history of 'bladder cancer'. What kind of malignancy is most likely?
    Urothelial carcinoma.

What would you like to do?

Home > Flashcards > Print Preview