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Testicular cancer - Germ cell tumour arising in the testis
Uncommon disease Most common solid tumour among males 15-34 yrs of age in the US Represents 1 % of male neoplasms5 % of urological tumours3 to 10 cases occurring / 100 ,000 /yr Risk of developing testicular cancer is lowRisk of dying from it is also very low ( < 1 % of all cancer deaths in males ) Incidence has been ↑↑ in last decades - particularly in industrialized countries( unknown reason ) White men have the highest incidence compared with African and Asian menAfrican-Americans tend to present with higher-grade disease and have much worse prognosis ( compared to whites ) Some of the highest rates in Scandinavian countries and Germany
Risk factors- Testicular dysgenesis syndrome components as ○ undescended testis ( cryptorchidism )○ hypospadias○ ↓↓ spermatogenesis ( sub or infertility ) Family history of testicular tumours among first-grade relatives Previous h/o testicular cancer Testicular carcinoma in situ - also known as intratubular germ cell neoplasia( TIN ) Testicular atrophy Inguinal hernia Genetic syndromes as Downs syndrome , Klinefelters Men with HIV/ AIDS White ethnicity Oestrogen exposure in utero Age- can happen at any age but most common between...
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