IMPACT OF DELAY IN DIAGNOSIS ON CLINICAL STAGE OF TESTICULAR CANCER
Chromosomes, Human, Pair 12
Neoplasms, Germ Cell and Embryonal
Pluripotent Stem Cells
Of 335 patients with germ-cell testicular cancer, 87·5% of the patients had symptoms related to the testis. Only 40% of the patients saw a physician within 2 weeks. Similarly, testicular signs were present in more than 90% of patients, but in only 61% of patients was a correct diagnosis made within 2 weeks of the initial physician visit. The length of the patient-related and physician-related delay was directly related to the clinical stage of the cancer at diagnosis. The median patient-plus-physician delay for stage I was 75 days, for stage II, 101 days, and for stage III, 134 days (p=0·017). Education programmes for the public and for physicians are needed to reduce delay in diagnosing testicular cancer. © 1981.
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