Özet:

Purpose: In patients with a radical orchectomy with a pre-diagnosis of the testicular mass, we aimed at assessing the general level of knowledge and awareness about testicular cancer, the post-treatment follow-up consistency rate and the factors that can affect the formation of this awareness. Instruments and Methods: Between January 2010 and June 2018, the demographic, clinical, pathological data and oncological results of 113 patients with radical orchectomy with testicular mass pre-diagnosis were evaluated as retrospective. The reasons for patients applying to the doctor, the history of testicular cancer in themselves or in their family, the factor that guides them to applying to the doctor, the rates of conducting their own testicular examinations regularly before and after application and treatment were recorded. Results: In 113 patients with an average age of 29 (17-60), the frequent cause of application was found; painless mass, hardness (52.4%) and swelling (10.6%) in himself (6.2%) and in his family (7.1%) testicular cancer history, as his spouse's guidance (6.2%) In those who have general knowledge of testicular cancer at university graduates, who have not low income levels, married individuals, who have testicular cancer history in themselves or in their families, who have regularly tested their own testicles, a higher rate of early stage testicular germ cell tumor or benign tissue pathology was detected. Person (HR: 1.845, p=0.015) and family (HR: 1.756, p=0.036) testicular cancer history, unmarried testicular history (HR: 2.561, p=0.026), low education level (HR: 1.012, p=0.034), low income level (HR: 1.003, p=0.041), unmarried (HR: 2. 879, p=0.037), having no previous general knowledge of testicular cancer (HR: 4.204, p=0.032), having no prior diagnosis (HR: 6.247, p=0.037) and having no regular testicular self-examination (HR: 2.015, p=0.032), having the post-treatment follow-up (HR: 1.121, p=0.024), having an independent risk factor reducing the overall survival of advanced tumor stages (HR: 1.104, p=0.005) were identified as independent risk factors. The result: We believe that the individual’s passed testicular cancer presence, various social media, the level of higher education, the homosexual awareness can make men more aware of testicular cancer. This will allow less toxic treatments to be applied because the tumor rates that are detected in the early stages will increase, and if necessary, better oncological results will be achieved.

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