Abstract
Testicular cancer is a rare disease of younger men, but the incidence of this disease has increased considerably in the recent years in many western countries. Ninety-five percents of these tumours derive from germinative cells, and more than 70% of patients are diagnosed in stage I disease. Causes of testicular cancer are not well understood. The emergence of this disease is mainly linked to the earliest years of life and events in this period as testicular maldescensus, carcinoma in situ, trauma and genetic predisposition. We present a patient, a soldier, 21 years old. At the time of diagnosis of mixed testicular tumour type, the existence of late, stage IV disease was noted. The patient, despite the existence of visible changes in the testicle and reported subjective symptoms, avoided urological examination for months. Delay in diagnosis of testicular tumours leads to the discovery of the disease in advanced stages when the chances for the treatment of this disease and possible curing are significantly reduced. Acta Medica Medianae 2011;50(3):45-48.
Highlights
Malignant testicular tumor is a rare disease
The most common risk factors are related to early years of life including cryptorchidism, carcinoma in situ, estrogen effects on fetus in uterus, and scrotum and testicular trauma [2]
Testicular cancer is a rare disease with the incidence of 1/100.000 in Asian, African and American population and the highest incidence is in Holland 9,2/100.000 [4,5]
Summary
Ninety-five percents of these tumours derive from germinative cells, and more than 70% of patients are diagnosed in stage I disease. Causes of testicular cancer are not well understood. The emergence of this disease is mainly linked to the earliest years of life and events in this period as testicular maldescensus, carcinoma in situ, trauma and genetic predisposition. At the time of diagnosis of mixed testicular tumour type, the existence of late, stage IV disease was noted. The patient, despite the existence of visible changes in the testicle and reported subjective symptoms, avoided urological examination for months. Delay in diagnosis of testicular tumours leads to the discovery of the disease in advanced stages when the chances for the treatment of this disease and possible curing are significantly reduced.
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