Eric is a young healthy 21-year-old with dreams of being a professional football
ID: 70036 • Letter: E
Question
Eric is a young healthy 21-year-old with dreams of being a professional football player with the NFL. After a particularly close game with his colleges rival team, Eric got into a fight and the other player kneed him in the groin.Eric collapsed in extreme pain and his fellows took him to the ER, where he is treated for testicular torsion and a hydrocele. He returns to normal life and after college is drafted by the NFL, where during his first year on the New York Giants he develops a ferocious cough with occasional bloody sputum, dizziness, blurred vision and headaches, both fearful of losing his place on the team he does not seek treatment. Discontinued until eight fainted during practice one day and was forced to see the team doctor. After being examined and running blood test, The doctor asked Eric about a large mass in his right testicle and airy replies that it was bothering him, but only when he didn't have it cupped. The doctor ordered CT scans of Eric's lungs, head and groin. The next day Eric is diagnosed with metastatic testicular cancerwith seven minor tumors in his lungs and a larger tumor in his brain. Given the above information about Eric answer the following questions: How does Eric's testicular cancer arise and then metastize so quickly? Why was the fluid swelling in his testicle a hydrocele and not a spermatocele or a variocele? The doctor recommends that Eric get a orchiectomy why is this a logical treatment choice?
Explanation / Answer
Hydrocoel is a collection of fluid in a sac in the scrotum. Hydrocoel is usually formed in the testis due to accumulation of body fluids in the abdomen or tumor formation in testis. Hydrocoel is the one that is formed due to tumors.Spermatocoel is due to cust formed in epidymidis or within the scrotum. Variocoel is vericose veins due to abnormal dilation of testicular veins or scrotum.
Orchiectomy is the incision of testicles that produce testosterone hormone. Teestosterone hormone produced by the testicles in males usually lead to prostate cancer. In the case , Eric is diagnosed with testicular cancer, so orchiectomy is preferred.
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