Yeni Üroloji Dergisi (Feb 2021)
Demographic and Clinical Data of Patients Presenting With Testicular Mass and Factors Affecting Overall Survival
Abstract
Objective: We aimed to evaluate the general knowledge and awareness of the patients about testicular cancer at admission,their adherence to follow-up period after the treatment and the factors that may affect this awareness in the patients who underwent radical orchiectomy due to diagnosis of testicular mass. We aimed to evaluate the factors that may affect overall survival by examining the complaints, demographic and clinical features of patients who underwent radical orchiectomy with a pre-diagnosis of testicular mass. Material and Methods: Between January 2010 and June 2018,demographic,clinical, pathological data and oncologic outcomes of 113 patients who underwent radical orchiectomy with a diagnosis of testicular mass were evaluated retrospectively.Reasons for admission to the doctor,the history of testicular canc er in himself and his relatives,the factors that led him to refer to the doctor, the rates of regular testicular self-examination during the pre-treatment and post-treatment period were recorded. Results: In 113 patients with a median age of 29 (ranged 17-60),the most common complaints were painless mass (%52.4), swelling (%10.6), history of testicular cancer in himself (%6.2) and his relatives (%7.1), his wife’s warning (%6.2).The patients having general knowledge about testicular cancer, university graduates, patients with enough income level, married individuals, patients with history of testicular cancer in himself and his relatives, performing regular testicular self-examination had the higher rates of early stage testicular germ cell tumor or benign pathology.History of testicular cancer in himself and his relatives,history of undescended testicle,low educational level,low income level,not to be married,no prior knowledge of testicular cancer,not performing regular testicular self-examination before diagnosis and during the follow-up period,advanced tumor stage, disrupt follow-up after treatment were found to be independent risk factors for decreased overall survival. Conclusion: We think that the history of testicular cancer, various social communication tools, higher education level and spouse awareness may increase the awareness of men about testicular cancer the likelihood of testicular masses’ being detected earlier.In this way, less toxic treatments can be administered since the increased tumor rates detected in the early stage, and also better oncologic outcomes can be achieved.
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