Global Burden of Testicular Cancer and Its Risk Factors

Testicular cancer (TC) is a rare cancer accounting for 5% of total urologic tumors. It occurs in distinct age groups of adolescents and young adults unlike other cancers peaking in the older age groups. About 95% of TC arises from germ cells. The histological classification of TC consists mainly of...

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Main Authors: Sharyu Mhamane, Sonali Bagal, Samyukta Shivshankar, Prithviraj Kadam, Gagan Prakash, Atul Budukh
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2025-04-01
Series:Indian Journal of Medical and Paediatric Oncology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1796675
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author Sharyu Mhamane
Sonali Bagal
Samyukta Shivshankar
Prithviraj Kadam
Gagan Prakash
Atul Budukh
author_facet Sharyu Mhamane
Sonali Bagal
Samyukta Shivshankar
Prithviraj Kadam
Gagan Prakash
Atul Budukh
author_sort Sharyu Mhamane
collection DOAJ
description Testicular cancer (TC) is a rare cancer accounting for 5% of total urologic tumors. It occurs in distinct age groups of adolescents and young adults unlike other cancers peaking in the older age groups. About 95% of TC arises from germ cells. The histological classification of TC consists mainly of seminomas and nonseminomas. Based on GLOBOCAN 2022, the continent with the highest incidence rate was Europe (Age-adjusted rate-6.4), while Africa (0.59) had the lowest incidence. The highest mortality rates were estimated for Latin America and the Caribbean (0.58) followed by Europe (0.35) while the lowest was for the Asian continent (0.14). The highest prevalence of TC was in Europe followed by Oceania and Northern America, while Africa had the least prevalence of TC cases among all. A myriad of risk factors is associated with TC; Cryptorchidism is the strongest associated risk factor of TC increasing the risk by fivefold. Other risk factors identified include family history increasing the risk by four- to eightfold, increased adult height, infertility (1.6- to 2.8-fold), pesticide exposure (threefold), and gr/gr deletion (threefold). Clinically, TC generally presents as a painless scrotal swelling often mistaken as a hydrocele and the bulk of disease growing in the retroperitoneum can be asymptomatic even after growing to a huge size. This article aims to present the global burden of TC and also discusses its etiological risk factors.
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language English
publishDate 2025-04-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Medical and Paediatric Oncology
spelling doaj-art-ba34bde4e0544099b6964d4fde72973a2025-08-20T02:32:44ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58510975-21292025-04-01460214214910.1055/s-0044-1796675Global Burden of Testicular Cancer and Its Risk FactorsSharyu Mhamane0https://orcid.org/0000-0002-7406-8134Sonali Bagal1https://orcid.org/0000-0002-2510-1751Samyukta Shivshankar2https://orcid.org/0009-0005-9521-9578Prithviraj Kadam3https://orcid.org/0000-0001-6241-9518Gagan Prakash4https://orcid.org/0000-0003-1722-4337Atul Budukh5https://orcid.org/0000-0001-6723-802XCentre for Cancer Epidemiology, Tata Memorial Centre, Navi Mumbai, Maharashtra, IndiaCentre for Cancer Epidemiology, Tata Memorial Centre, Navi Mumbai, Maharashtra, IndiaCentre for Cancer Epidemiology, Tata Memorial Centre, Navi Mumbai, Maharashtra, IndiaCentre for Cancer Epidemiology, Tata Memorial Centre, Navi Mumbai, Maharashtra, IndiaDivision of Urologic Oncology, Department of Surgical Oncology, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, IndiaCentre for Cancer Epidemiology, Tata Memorial Centre, Navi Mumbai, Maharashtra, IndiaTesticular cancer (TC) is a rare cancer accounting for 5% of total urologic tumors. It occurs in distinct age groups of adolescents and young adults unlike other cancers peaking in the older age groups. About 95% of TC arises from germ cells. The histological classification of TC consists mainly of seminomas and nonseminomas. Based on GLOBOCAN 2022, the continent with the highest incidence rate was Europe (Age-adjusted rate-6.4), while Africa (0.59) had the lowest incidence. The highest mortality rates were estimated for Latin America and the Caribbean (0.58) followed by Europe (0.35) while the lowest was for the Asian continent (0.14). The highest prevalence of TC was in Europe followed by Oceania and Northern America, while Africa had the least prevalence of TC cases among all. A myriad of risk factors is associated with TC; Cryptorchidism is the strongest associated risk factor of TC increasing the risk by fivefold. Other risk factors identified include family history increasing the risk by four- to eightfold, increased adult height, infertility (1.6- to 2.8-fold), pesticide exposure (threefold), and gr/gr deletion (threefold). Clinically, TC generally presents as a painless scrotal swelling often mistaken as a hydrocele and the bulk of disease growing in the retroperitoneum can be asymptomatic even after growing to a huge size. This article aims to present the global burden of TC and also discusses its etiological risk factors.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1796675testicular cancerepidemiologyGLOBOCANetiologycryptorchidism
spellingShingle Sharyu Mhamane
Sonali Bagal
Samyukta Shivshankar
Prithviraj Kadam
Gagan Prakash
Atul Budukh
Global Burden of Testicular Cancer and Its Risk Factors
Indian Journal of Medical and Paediatric Oncology
testicular cancer
epidemiology
GLOBOCAN
etiology
cryptorchidism
title Global Burden of Testicular Cancer and Its Risk Factors
title_full Global Burden of Testicular Cancer and Its Risk Factors
title_fullStr Global Burden of Testicular Cancer and Its Risk Factors
title_full_unstemmed Global Burden of Testicular Cancer and Its Risk Factors
title_short Global Burden of Testicular Cancer and Its Risk Factors
title_sort global burden of testicular cancer and its risk factors
topic testicular cancer
epidemiology
GLOBOCAN
etiology
cryptorchidism
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1796675
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AT sonalibagal globalburdenoftesticularcanceranditsriskfactors
AT samyuktashivshankar globalburdenoftesticularcanceranditsriskfactors
AT prithvirajkadam globalburdenoftesticularcanceranditsriskfactors
AT gaganprakash globalburdenoftesticularcanceranditsriskfactors
AT atulbudukh globalburdenoftesticularcanceranditsriskfactors