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Slide 2 Sam Stern Slide 3 8,590 new cases 2012 360 deaths Rate increase Slide 4 Specific unknown History of undescended testicle, Klinefelter syndrome, HIV Slide 5 Men 15-35 Germ Cells Seminoma and Nonseminoma Slide 6 Seminoma -slow-growing -30-40s -testes -spread to lymph nodes Nonseminoma -common -fast -multiple cell tumors -Choriocarcinoma, Embryonal carcinoma, Teratoma, Yolk Sac tumor Slide 7 Pain in the testicle, lower back, abdomen Engorging of testicle Breast tissue Lump, swelling Slide 8 Physical self examination United States Preventive Services Task Force Slide 9 Abdominal and pelvic CT Scan Blood tests Chest x-ray Ultrasound of scrotum Slide 10 Stage I, contained Stage II, spreading Stage III, metastasized Slide 11 Orchiectomies Lymphadenectomies Radiation for Seminoma Chemotherapy for both Slide 12 Exercise Diet Not smoking Not drinking For all cancers