Proposition: To analyse the results of a three-year-long early detection secondary testicular cancer program, assisted by testicular ultrasound and self-examination. Methods: We provided information about testicular self-examination for our previously treated and controlled testicular tumor patients, and we continued to check their condition by ultrasound examination on an annual basis or, in the case of any signs of testicular tumor, within a few days. Between April 1, 1995 and April 1, 1998 annually 702, 782 and 761 patients participated in the program. During this 3-year period 14 asyncronous testicular cancer cases were detected and 8 other asyncronous duplex testicular cancers were treated at our Department. The clinical details of the two groups were then compared. Results: The stages of 14 asyncronous testicular tumor cases diagnosed in the new program were: 4 stage I/A, 10 stage l/B; the histological findings were: 6 seminomas and 8 non-seminomas. In the second group the stages were. 2 I/A, 2 l/B, 1 II/A and 3 III/ B; 4 seminomas were diagnosed. The duration of symptoms at the time of the first tumor was similar. As- a result of the early detection program the complaint term decreased significantly. In this group 10 adjuvant chemotherapies, 4 wait and see policies, in the second group 3 curative and 3 adjuvant chemotherapies, 2 wait and see policies and 1 complementary irradiation were performed. The average number of chemotherapy cycles were 1.4 and 2.6 respectively. Conclusion: In general, the prognosis of asyncronous testicular cancer is good, the treatment proved to be effective in all cases. In the first group the duration of symptoms, the number of chemotherapy cycles and the treatment costs decreased. The previously treated and controlled testicular cancer patients must be followed up regularly for up to 5 years, and they must be made to recognise the importance of the early recognition of a secondary testicular cancer. This program, assisted by testicular ultrasound, enhances the success of an early diagnosis.
|Number of pages||8|
|Publication status||Published - Dec 1 1999|
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