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The Facts on Testicular Cancer
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Testicular cancer
is the most common malignancy in young men between the ages of 20 and
34. There are about 7500 new cases yearly, with approximately 350
deaths per year in the US.
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Testicular
cancer is more common in white men than black or Asian.
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Although
it accounts for only about 1 percent of all cancers in men, it is the
number one cancer killer among men in their 20's and 30's.
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Most
testicular cancers are self-discovered by patients as a painless
or uncomfortable lump in the testicle. About 1-3% of testicular
neoplasms are bilateral.
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Pure
seminomas constitute roughly 40% of all testicular cancer cases. Forty
percent of the testicular cancers have mixture of histology.
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The
cancer risk for boys with a history of undescended testicles is about
10-40 times higher than normal individuals. The risk of developing the
disease was estimated at 1 out of 20 for a testis retained in the
abdomen and 1 out of 80 if it was within the inguinal canal. The risk
remains elevated after surgical correction. Both testis are at higher
risk, not just the undescended one.
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If
found early, testicular cancer is almost always curable.
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Early
stage testicular cancer can be treated with surgery and radiation
therapy. Late stage testicular cancer can be treated with the
combination of surgery, radiation therapy and/or chemotherapy.
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The
prognosis for men with testicular cancer is very good, even with late
stage disease. The chances of recovery are excellent with surgery and
radiotherapy for early stage disease. Combined modality is used for
treatment of late stage disease with good results.
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More
than 90% of testicular cancer patients are cured by their initial
treatment, and many of those who have recurrent disease can also be
cured with chemotherapy or radiation.
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