title: Testicular cancer: our experience after 10 years.
abstract: OBJECTIVE
  Testicular cancer represents about 1% of malignant tumors in men. Of these tumors 95% are germ cell tumors (GCTs), which have a  maximum incidence between the second and third decades of life. Our objective was to carry out a retrospective analysis of testicular tumor cases that had been diagnosed in our Health Area between the years 2000 and 2010.
  
  
  METHODS
  We performed a retrospective descriptive study between the years 2000 and 2010 analyzing 43 patients treated for testicular cancer, including in the analysis  tumor incidence, the patient's age, clinic attended, patient's time until appointment, presence of tumor markers, patient's time before treatment, use of testicular prostheses, histological type and their typical characteristics, oncological treatment, tumor progression and mortality rate.
  
  
  RESULTS
  We found an incidence of 4-5 cases/100,000 population/year in our Health Area. Two-thirds of the cases were detected in Stage I,  and 100%  of these cases showed  complete remission. Among those with higher stage tumors, two out of three patients were cured after chemotherapy. For the remaining one-third, rescue treatments  managed  to achieve a remission rate of 66%. Mortality was low and was linked to lymphoma or metastatic dissemination.
  
  
  CONCLUSIONS
  The trend towards early diagnosis with detection during the initial cancer stages, together with current chemotherapy protocols, enables a high cure rate for  testicular cancer. Mortality in our series was associated with primary or secondary lymphomas.
authors.affiliation: Servicio de Urología, Hospital clínico Universitario, Valladolid, Spain. esther.valsero@gmail.com
authors.forename: Maria Esther
authors.initials: ME
authors.lastname: Valsero Herguedas
authors.forename: Miguel
authors.initials: M
authors.lastname: Pascual Samaniego
authors.forename: Elena
authors.initials: E
authors.lastname: Garcia Lagarto
authors.forename: Sergio
authors.initials: S
authors.lastname: Martín Martin
authors.forename: Maria Fe
authors.initials: MF
authors.lastname: Muñoz Moreno
authors.forename: Jose Ramon
authors.initials: JR
authors.lastname: Cortiñas Gonzalez
mesh_terms: D000328:Adult; D014408:Biomarkers, Tumor / Q000097:blood; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009373:Neoplasms, Germ Cell and Embryonal / Q000453:epidemiology / Q000473:pathology / Q000628:therapy; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology; D013736:Testicular Neoplasms / Q000453:epidemiology / Q000473:pathology / Q000628:therapy; D047368:Tumor Burden; D055815:Young Adult
chemical_list: D014408:Biomarkers, Tumor