title: Scrotal cancer: incidence, survival and second primary tumours in the Netherlands since 1989.
abstract: BACKGROUND
  Since the 1970s there have been few epidemiological studies of scrotal cancer. We report on the descriptive epidemiology of scrotal cancer in the Netherlands.
  
  
  METHODS
  Data on all scrotal cancer patients were obtained from the Netherlands Cancer Registry (NCR) in the period 1989-2006 and age-standardised incidence rates were calculated also according to histology and stage. Relative survival was calculated and multiple primary tumours were studied.
  
  
  RESULTS
  The overall incidence rate varied around 1.5 per 1,000,000 person-years, most frequently being squamous cell carcinoma (27%), basal cell carcinoma (19%) and Bowen's disease (15%). Overall 5-year relative survival was 82%, being 77% and 95% for patients with squamous and basal cell carcinoma, respectively. In all, 18% of the patients were diagnosed with a second primary tumour.
  
  
  CONCLUSIONS
  The incidence rate of scrotal cancer did not decrease, although this was expected; affected patients might benefit from regular checkups for possible new cancers.
authors.affiliation: Department of Research, Eindhoven Cancer Registry, Comprehensive Cancer Centre South, PO Box 231, Eindhoven 5600 AE, The Netherlands. research@ikz.nl
authors.forename: R H A
authors.initials: RH
authors.lastname: Verhoeven
authors.forename: W J
authors.initials: WJ
authors.lastname: Louwman
authors.forename: E L
authors.initials: EL
authors.lastname: Koldewijn
authors.forename: T B J
authors.initials: TB
authors.lastname: Demeyere
authors.forename: J W W
authors.initials: JW
authors.lastname: Coebergh
mesh_terms: D000328:Adult; D000368:Aged; D005834:Genital Neoplasms, Male / Q000453:epidemiology* / Q000401:mortality / Q000473:pathology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000453:epidemiology; D009426:Netherlands / Q000453:epidemiology; D012042:Registries; D012611:Scrotum