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Morra, S; Piccinelli, ML; Cano, Garcia, C; Tappero, S; Barletta, F; Incesu, RB; Scheipner, L; Baudo, A; Tian, Z; Saad, F; Mirone, V; Califano, G; Colla', Ruvolo, C; Shariat, SF; de, Cobelli, O; Musi, G; Chun, FKH; Terrone, C; Briganti, A; Tilki, D; Ahyai, S; Carmignani, L; Longo, N; Karakiewicz, PI.
Differences in future life expectancy of testicular germ-cell tumor patients vs. age-matched male population-based controls.
Int Urol Nephrol. 2023; 55(12):3119-3128
Doi: 10.1007/s11255-023-03763-2
Web of Science
PubMed
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- Co-authors Med Uni Graz
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Ahyai Sascha
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Scheipner Lukas
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- Abstract:
- BACKGROUND: It is unknown whether five-year overall survival (OS) differs and to what extent between testicular germ-cell tumor (TGCT) patients and age-matched male population-based controls. MATERIALS: We identified newly diagnosed (2004-2014) TGCT patients within Surveillance Epidemiology and End Results database 2004-2019. We compared OS between non-seminoma (NS-TGCT) and seminoma (S-TGCT) patients relative to age-matched male population-based controls based on Social Security Administration Life-Tables. Smoothed cumulative incidence plots displayed cancer-specific mortality (CSM) vs. other-cause mortality (OCM). RESULTS: Of all 20,935 TGCT patients, 43% had NS-TGCT and 57% had S-TGCT. Of NS-TGCT patients, 63% were stage I vs. 16% stage II vs. 21% stage III. Of S-TGCT patients, 86% were stage I vs. 8% were stage II vs. 6% stage III. Five-year OS differences between NS-TGCT patients vs age-matched male population-based controls were 97 vs. 99% (Δ = 2%) for stage I, 96 vs. 99% (Δ = 3%) for stage II, 76 vs 98% (Δ = 22%) for stage III. Five-year OS differences between S-TGCT patients vs age-matched male population-based controls were 97 vs. 98% (Δ = 1%) for stage I, 95 vs. 97% (Δ = 2%) for stage II, 87 vs. 98% (Δ = 11%) for stage III. OCM rates ranged from 1 to 3% in NS-TGCT patients and from 2 to 4% in S-TGCT patients. CONCLUSION: The OS difference between NS-TGCT patients vs. age-matched male population-based controls was invariably higher across all stages (2-22%) than for S-TGCT patients (1-11%). Reassuringly, OCM rates were marginal in stage I and stage II patients. Conversely, higher OCM rates were recorded in stage III patients.
- Find related publications in this database (using NLM MeSH Indexing)
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Humans - administration & dosage
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Male - administration & dosage
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Neoplasm Staging - administration & dosage
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Testicular Neoplasms - pathology
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Neoplasms, Germ Cell and Embryonal - administration & dosage
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Life Expectancy - administration & dosage
- Find related publications in this database (Keywords)
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SEER program
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Testis cancer
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Future life expectancy
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Germ-cell tumors