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Prognosis Of Testicular Cancer
Although testicular cancer is the leading cause of death in young men
between 15 and 50 from disease it also has a very high survival
rate. The American Cancer Society estimates that in 2008
there will be over 8000 new cases of testicular cancer in the United
States alone and over 300 will die from the disease. This is
actually a higher death rate than women with breast cancer.
The number of men diagnosed with testicular cancer is rising each
year. The numbers have doubled since the 1930ís
and appear to higher in Scandinavia and Germany and lowest in Asian and
African countries.
The prognosis of testicular cancer is an estimation or percentage given
to patients to help them understand the gravity of their particular
situation. A prognosis is usually expressed in one of two
ways. The physician will give a prognosis in a range of poor
to excellent which doesnít require any statistical analysis
of survival rates. It is a general statement based on the
doctors knowledge of the current survival rates, the cell type of your
cancer and your overall general health.
The second way that prognosis is expressed is through five-year
survival rates. This term doesnít mean that
patients only live 5 years but rather it expresses a number that
reflects the number of people who survive the diagnosis for at least
five years. Doctors use this benchmark in any research study
when they are initiating new treatment protocols.
The reason that doctors use the five year mark is because the chances
of the cancers returning after five years decreases
significantly. Although it doesnít mean the
patient is cured from the cancer because it can return. So
the term 5-year survival is used instead.
The figures for testicular cancer are very promising. When a
medical professional quotes the numbers they will say that X out of 100
people will survive for 5 years. This translates to X
percent. In other words 95 out of 100 is actually
95%. In the case of testicular cancer these numbers range in
the high 90ís.
This is vastly different from the 5-year survival rates in 1963 which
was 63%! Today, because of improved diagnosis, early
treatment and improved protocols the survival rates for those cancers
that havenít moved beyond the testicle are 99%.
That means that 99 out of 100 will survive 5 years after diagnosis.
These numbers are slightly different if the cancer has spread to the
lymph nodes in the abdomen which drain the testicles. If the
doctor detects cancer cells in the lymph nodes the rate of survival
drops slightly to 96%.
The five-year survival rate drops more significantly if the cancer
spreads beyond the lymph nodes to the abdominal cavity. At
this time the survival rate is 70%. But even with a
percentage of survival that drops that significantly the majority of
men who are diagnosed with testicular cancer which has spread beyond
the lymph nodes are still considered cured.
This is positive since in a recent survey researchers found that men
delayed diagnosis from between 17 and 87 weeks once they discovered the
abnormality in their scrotum. Because testicular cancer is
practically symptomless, early diagnosis occurs with self-examination
and annual evaluations by the physician.
In order for men to enjoy the benefits of an excellent prognosis of
testicular cancer they must perform monthly self examinations and be
diligent in their annual physicals.
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