Özet:

Objective: ATesticular cancer (Tca) consists of approximately 20% of urogenital malignancy in men, and approximately 1% to 2 of all male malignancies. Tca is the most common solid tumor in males aged between 15 to 35 years. There are many risk factors related to Tca such as cryptorchidism, testicular microlithiasis, clinefelter and Down syndrome. 95% of Tca is derived from germinal tissue. Germ cell tumor is classified into two groups: seminomatous and nonseminomatous (embryonic carcinoma cell, teratoma, choriocarcinoma, cornea sac tumor). In this study, we aimed to evaluate general characteristics and treatment modalities of the patients with diagnosis of Tca living in our region. Material and Methods: Demographic characteristics and treatment modalities of the patients with Tca followed at Bolu Abant İzzet Baysal University Medicine Faculty, Medical Oncology outpatient clinic between 01.01.2012 and 30.07.2013 were evaluated retrospectively.Results: Fifteen patients with median age of 31 were included in the study. As the first compliant, 11 patients (%74) a mass within the testis, 2 patients (%13) pain, and 2 patients (%13) claimed both pain and mass. The tumor was unilateral in 14 patients and bilateral in 1 patient. The median tumor size was 4 cm. 7 patients had seminomatous histology and 7 patients had nonseminomatous histology. The patient with bilateral tumor had seminomatous histology in the right testis and nonseminomatous histology in the left testis. After orchiectomy, two patients with seminomatous stage IA were given carboplatin and one patient was followed without chemotherapy; two patients with stage IB were given carboplatin and one patient was followed without chemotherapy; one patient with stage IIB was given bleomycin, etoposide, cisplatin (BEP) chemotherapy; 2 patients with non-seminomatous stage IA were followed without chemotherapy; the patients with stage II and above were given BEP chemotherapy. Conclusion: We concluded that our results were in consistent with the literature. We assumed that further studies are needed in another part of the country to obtain the data of Turkish population

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