Clinicopathological features and survival of testicular tumours in a Southeast Asian university hospital: A ten-year review

Guan Hee Tan, M. Azrif, Shamsul Azhar Shah, Chee Kong Christopher Ho, Praveen Singam, Eng Hong Goh, B. Bahadzor, Fuad Ismail, Zulkifli Md. Zainuddin

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction: Testicular cancer mainly affects young men worldwide. There is lack of published data on patients with this malignant condition from the Southeast Asian region. The aim of this study was therefore to determine the clinicopathologic features of testicular cancer patients treated in a Southeast Asian university hospital and their overall survival rate. Materials and methods: This was a retrospective study of testicular cancer patients treated between January 2001 and February 2011. Their epidemiological data, clinical presentation, pathologic diagnosis, stage of disease and treatment were gathered and the overall survival rate of this cohort was analyzed. Results: Thirty-one patients were included in this study. The majority of them were of Malay ethnicity. The average age at presentation was 33.7 years. The commonest testicular cancer was non-seminomatous germ cell tumour, followed by seminoma, lymphoma and rhabdomyosarcoma. More than half of all testicular germ cell tumour (GCT) patients had some form of metastasis at diagnosis. All the patients were treated with radical orchidectomy. Adjuvant chemotherapy was given to those with metastatic disease. Four seminoma patients received radiotherapy to the para-aortic lymph nodes. The 5-year survival rate for all testicular cancers in this cohort was 83.9%. The survival rate was 88.9% in 5 years when GCT were analyzed separately. Conclusion: GCT affects patients in their third and fourth decades of life while lymphoma patients are generally older. Most of the patients treated for GCT are of Malay ethnicity. The majority have late presentation for treatment. The survival rate of GCT patients treated here is comparable to other published series in other parts of the world.

Original languageEnglish
Pages (from-to)2727-2730
Number of pages4
JournalAsian Pacific Journal of Cancer Prevention
Volume12
Issue number10
Publication statusPublished - 2011

Fingerprint

Testicular Neoplasms
Survival
Germ Cell and Embryonal Neoplasms
Survival Rate
Seminoma
Lymphoma
Orchiectomy
Rhabdomyosarcoma
Adjuvant Chemotherapy
Radiotherapy
Retrospective Studies
Lymph Nodes
Neoplasm Metastasis

Keywords

  • Asian
  • Lymphoma, rhabdomyosarcoma
  • Nonseminomatous germ cell tumour
  • Seminoma
  • Testicular cancer

ASJC Scopus subject areas

  • Oncology
  • Cancer Research
  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Clinicopathological features and survival of testicular tumours in a Southeast Asian university hospital : A ten-year review. / Tan, Guan Hee; Azrif, M.; Shah, Shamsul Azhar; Ho, Chee Kong Christopher; Singam, Praveen; Goh, Eng Hong; Bahadzor, B.; Ismail, Fuad; Md. Zainuddin, Zulkifli.

In: Asian Pacific Journal of Cancer Prevention, Vol. 12, No. 10, 2011, p. 2727-2730.

Research output: Contribution to journalArticle

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abstract = "Introduction: Testicular cancer mainly affects young men worldwide. There is lack of published data on patients with this malignant condition from the Southeast Asian region. The aim of this study was therefore to determine the clinicopathologic features of testicular cancer patients treated in a Southeast Asian university hospital and their overall survival rate. Materials and methods: This was a retrospective study of testicular cancer patients treated between January 2001 and February 2011. Their epidemiological data, clinical presentation, pathologic diagnosis, stage of disease and treatment were gathered and the overall survival rate of this cohort was analyzed. Results: Thirty-one patients were included in this study. The majority of them were of Malay ethnicity. The average age at presentation was 33.7 years. The commonest testicular cancer was non-seminomatous germ cell tumour, followed by seminoma, lymphoma and rhabdomyosarcoma. More than half of all testicular germ cell tumour (GCT) patients had some form of metastasis at diagnosis. All the patients were treated with radical orchidectomy. Adjuvant chemotherapy was given to those with metastatic disease. Four seminoma patients received radiotherapy to the para-aortic lymph nodes. The 5-year survival rate for all testicular cancers in this cohort was 83.9{\%}. The survival rate was 88.9{\%} in 5 years when GCT were analyzed separately. Conclusion: GCT affects patients in their third and fourth decades of life while lymphoma patients are generally older. Most of the patients treated for GCT are of Malay ethnicity. The majority have late presentation for treatment. The survival rate of GCT patients treated here is comparable to other published series in other parts of the world.",
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N2 - Introduction: Testicular cancer mainly affects young men worldwide. There is lack of published data on patients with this malignant condition from the Southeast Asian region. The aim of this study was therefore to determine the clinicopathologic features of testicular cancer patients treated in a Southeast Asian university hospital and their overall survival rate. Materials and methods: This was a retrospective study of testicular cancer patients treated between January 2001 and February 2011. Their epidemiological data, clinical presentation, pathologic diagnosis, stage of disease and treatment were gathered and the overall survival rate of this cohort was analyzed. Results: Thirty-one patients were included in this study. The majority of them were of Malay ethnicity. The average age at presentation was 33.7 years. The commonest testicular cancer was non-seminomatous germ cell tumour, followed by seminoma, lymphoma and rhabdomyosarcoma. More than half of all testicular germ cell tumour (GCT) patients had some form of metastasis at diagnosis. All the patients were treated with radical orchidectomy. Adjuvant chemotherapy was given to those with metastatic disease. Four seminoma patients received radiotherapy to the para-aortic lymph nodes. The 5-year survival rate for all testicular cancers in this cohort was 83.9%. The survival rate was 88.9% in 5 years when GCT were analyzed separately. Conclusion: GCT affects patients in their third and fourth decades of life while lymphoma patients are generally older. Most of the patients treated for GCT are of Malay ethnicity. The majority have late presentation for treatment. The survival rate of GCT patients treated here is comparable to other published series in other parts of the world.

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