Internal Medicine

0521779407-20 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:22

1470 Tumors, Intracranial

TUMORS OF PARATESTICULAR AND SPERMATIC

CORD STRUCTURES

ARTHUR I. SAGALOWSKY, MD

history & physical

■round, smooth mass in epididymis or cord

■slow growth (likely benign) vs. rapid (concern for malignancy)

tests

■does not transilluminate

■ultrasound reveals solid mass

differential diagnosis

■benign adenomatoid tumor most common

■malignant – rhabdomyosarcoma, leiomyosarcoma, mesothelioma

management

n/a

specific therapy

■inguinal exploration

■simple excision of benign mass; inguinal orchiectomy for malignant

lesions

■further staging and Rx of paratesticular malignancies beyond the

scope of this chapter

follow-up

n/a

complications and prognosis

n/a

TUMORS, INTRACRANIAL

MICHAEL J. AMINOFF, MD, DSc

history & physical

■General: headache, poor concentration, memory disturbance, som-

nolence, nausea & vomiting, visual obscurations

■Focal: depend on tumor location

■May have family history of tumor

■General findings: Signs of increased ICP (papilledema, reduced

attention, drowsiness, cognitive changes)