Describe what might side effects of cytotoxic chemotherapy


Assignment: Testicular Cancer Case Studies

Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

Case Studies will be uploaded to Moodle and put through TURN-It-In.

Testicular Cancer Case Studies

A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a "grape sized" mass in the right testicle. Thisfinding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old.

Studies
Results
Routine laboratory studies
Within normal limits (WNL)
Ultrasound the testicle
Solid mass, right testicle associated with calcifications

HCG (human chorionic gonadotropin)
550mIU/mL (normal: <5)
CT scan of the abdomen
Enlarged retroperitoneal lymph nodes
CT scan of the chest

Multiple pulmonary nodules
Diagnostic Analysis

At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.

Critical Thinking Questions

1. What impact did an undescended testicle have on this young man's risk for developingtesticular cancer?

2. What might be the side effects of cytotoxic chemotherapy?

3. What was the purpose of preserving his sperm before chemotherapy?

4. Is this young man's age typical for the development of testicular carcinoma?

Format your assignment according to the following formatting requirements:

1. The answer should be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.

2. The response also includes a cover page containing the title of the assignment, the student's name, the course title, and the date. The cover page is not included in the required page length.

3. Also include a reference page. The Citations and references should follow APA format. The reference page is not included in the required page length.

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