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DECREASED SURVIVAL OF BLACK AMERICANS WITH TESTICULAR CANCER

1998; Lippincott Williams & Wilkins; Volume: 159; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(01)63563-8

1527-3792

PETER J. BRIDGES, Roohollah Sharifi, Asim Razzaq, Patrick Guinan,

Sperm and Testicular Function

No AccessJournal of UrologyClinical Urology: Original Articles1 Apr 1998DECREASED SURVIVAL OF BLACK AMERICANS WITH TESTICULAR CANCER PETER J. BRIDGES, ROOHOLLAH SHARIFI, ASIM RAZZAQ, and PATRICK GUINAN PETER J. BRIDGESPETER J. BRIDGES , ROOHOLLAH SHARIFIROOHOLLAH SHARIFI , ASIM RAZZAQASIM RAZZAQ , and PATRICK GUINANPATRICK GUINAN View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)63563-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: A 14-year review of 215 consecutive patients with testicular cancer at the University of Illinois hospitals revealed that 25% were black. This large experience with this relatively rare cancer in black men provides a unique opportunity to compare the disease stage at presentation, histological tumor type and 5-year survival rates of black, white and Hispanic men. Materials and Methods: We reviewed the records of patients with a diagnosis of testicular cancer treated at University of Illinois hospitals. The Kaplan-Meier method was used to calculate actuarial 5-year survival rates. Results: The overall percentages of white, black and Hispanic men were 55 (119 men), 25 (53) and 18% (38), respectively. We found no significant differences in tumor types among the 3 racial groups. Overall 42 and 58% of the patients had seminoma and nonseminoma, respectively. Black men with some types of cancer have been shown to present with higher stages of disease but we noted no differences in clinical stage at presentation in all groups with testicular cancer (average stage I disease in 45%, II in 31% and III in 24%). Survival rates were 88% in white, 79% in Hispanic and 71% in black patients. Conclusions: Black men had significantly decreased (z <0.02) 5-year disease specific survival, which was 17% less than white patients. The difference in disease specific survival for Hispanic men was not statistically significant. This review of 215 patients with testicular cancer revealed no differences in tumor type or stage at presentation for white, black or Hispanic men. However, a review of these data suggests that disease specific survival outcomes are more ominous in black men. References 1 : Neoplasm of the testis. In: . Philadelphia: W. B. Saunders Co.1992: 1222. Google Scholar 2 : The epidemiology of testicular cancer. Eur. Urol.1993; 23: 35. Google Scholar 3 : Testicular cancer. Cancer Surv.1994; 19-20: 323. Google Scholar 4 : Testis tumors in Negroes. Urology1973; 2: 318. Google Scholar 5 : Testis cancer in Negroes. Lancet1973; 1: 782. Google Scholar 6 : Testicular neoplasms in Ugandan Africans. Afr. J. Med. Sci.1972; 3: 157. Google Scholar 7 : Tumors of the male sex organs.. Washington D.C.: Armed Forces Institute of Pathology1952: 48. fascicle 32. Google Scholar 8 : Malignant testicular tumors in Finland. Acta Path. Microbiol. Scand.1969; 75: 18. Google Scholar 9 : A comparison of testicular tumors in black and white patients. J. Urol.1981; 125: 341. Link, Google Scholar 10 : Genitourinary pathology in urban male blacks of South Africa. J. Urol.1980; 123: 51. Abstract, Google Scholar 11 : Testicular cancer in blacks: a multicenter experience. Cancer1994; 73: 388. Google Scholar 12 : Cancer statistics for African Americans, 1996. CA1996; 46: 113. Google Scholar 13 Testis Cancer. Results in Treating Cancer.. : American Cancer Society, Illinois Division1993. report No. 15. Google Scholar 14 : Cancer statistics for African-Americans. CA1992; 42: 7. Google Scholar 15 : Is testicular cancer incidence in blacks increasing?. Amer. J. Pub. Health1989; 79: 1553. Google Scholar 16 : Epidemiology of testicular cancer. Epidemiol. Rev.1995; 17: 433. Google Scholar 17 : Testicular cancer and cryptorchidism. Brit. J. Urol.1992; 70: 656. Google Scholar 18 : Incidence and descriptive features of testicular cancer among United States whites, blacks, and hispanics, 1973-1982. Cancer1986; 58: 1785. Google Scholar 19 : Increase in testicular cancer incidence in six European countries: a birth cohort phenomenon. J. Nat. Cancer Inst.1996; 88: 727. Google Scholar 20 : Cancer statistics, 1997. CA1997; 47: 5. Google Scholar Department of Urology, University of Illinois at Chicago, and the Hektoen Institute, Chicago, Illinois.© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 159Issue 4April 1998Page: 1221-1223 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information PETER J. BRIDGES More articles by this author ROOHOLLAH SHARIFI More articles by this author ASIM RAZZAQ More articles by this author PATRICK GUINAN (Guinan) Requests for reprints: Hektoen Institute, 637 South Wood St., Chicago, Illinois 60612. More articles by this author Expand All Advertisement PDF downloadLoading ...