title: Incidence of testicular cancer in the United States, 1999-2004.
abstract: Testicular cancer is rare but primarily affects young men. To characterize the current incidence of testicular cancer in the United States, U.S. Cancer Statistics data from 1999 through 2004 were examined. Age-adjusted (2000 U.S. standard) incidence rates were calculated for seminoma and nonseminoma testicular germ cell tumors (TGCTs). Hispanic men had the largest increase in incidence rates for nonseminomas, followed by non-Hispanic White men (annual percentage change of 3.2% and 1.9%, respectively, p < .05). Nonseminomas peaked at a younger age for Hispanic, American Indian/Alaska Native (AIAN), and Asian/Pacific Islander (API) men. Whereas 9.6% of TGCTs were diagnosed at a distant stage in non-Hispanic White men, more Hispanic (16.1%), Black (13.8%), AIAN (16.8%), and API (14.9%) men with TGCTs were diagnosed with distant stage. Monitoring incidence rates for rare cancers by race/ethnicity has improved with national population-based cancer registry coverage. Disparities in diagnosis stage have implications for effective treatment of TGCTs.
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. jtownsend@cdc.gov
authors.forename: Julie S
authors.initials: JS
authors.lastname: Townsend
authors.forename: Lisa C
authors.initials: LC
authors.lastname: Richardson
authors.forename: Robert R
authors.initials: RR
authors.lastname: German
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged; D001213:Asian / Q000706:statistics & numerical data; D005006:Ethnicity / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007198:Indians, North American / Q000706:statistics & numerical data; D008297:Male; D054526:Men's Health; D008875:Middle Aged; D009367:Neoplasm Staging; D044469:Racial Groups / Q000706:statistics & numerical data*; D012307:Risk Factors; D018426:SEER Program; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000208:ethnology* / Q000628:therapy; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult