[A clinical study on 109 cases with testicular tumor]

One hundred and nine patients with testicular tumors were treated in our hospital between 1970 and 1994. The patients ranged in age from 4 months to 73 years with an average of 35.3 years. The most frequent chief complaint was painless swelling of the scrotal contents. Of 106 germinal tumors, 61 cases were of pure seminomas, and the other 45 cases contained non-seminomatous elements. The remaining 3 cases were non-germinal tumors; 2 malignant lymphomas and one rhabdomyosarcoma. Clinical staging classified them into 80 cases of stage I, 21 cases of stage II, and 8 cases of stage III. The five-year survival rate calculated by the Kaplan-Meier method was 79.6% in total, and 85.0, 91.7, 66.7 and 50.0% in stage I, IIA, IIB, and III, respectively. A comparison with the 5-year survival rate before 1980 (69.9%) when computed tomographic (CT) equipment and chemotherapy including cisplatin were introduced in our hospital, showed significant improvement after 1981 (89.4%).