A Retrospective Analysis of Testicular Cancer (2007-2025): A Single Institutional Experience.

IF 2.4 Q2 UROLOGY & NEPHROLOGY
Research and Reports in Urology Pub Date : 2026-07-29 eCollection Date: 2026-01-01 DOI:10.2147/RRU.S623531
Hamza Abedallaa, Zuheir Al-Shehabi, Nader Abedallaa
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引用次数: 0

Abstract

Background: Testicular cancer (TC) is the leading cancer among adolescents and young adults (AYAs) aged 15-39 years and one of the most curable cancers.

Objective: The study aims to assess epidemiology, histological classification, stage at diagnosis, prognosis, stage I risk assessment and relationship between prognosis and age in the Center of Chemotherapy and Radiotherapy at Latakia University Hospital.

Methods: 318 patients with testicular cancer who had been attended to the Chemotherapy and Radiotherapy Center at Latakia University Hospital from its opening in 2007 until October 2025 were included in this retrospective analysis.

Results: The median age at diagnosis was 32 years. The most prevalent testicular cancer (TC) was germ cell type. Among germ cell tumors, non-seminomatous types (51.6%) were slightly more frequent than seminomatous (45.9%). The most frequent non-seminomatous subtype was: mixed germ cell tumors (29.9%). The majority of TC patients were in stage I. About two-thirds of the seminoma patients were in stage I, while it represented about half of the non-seminoma patients with a significant difference between the two types. Two (2.86%) patients with vascular invasion, 31 (44.29%) with embryonal carcinoma, both vascular invasion and embryonal carcinoma in 8 (11.43%), and no risk factors were detected in 29 (41.43%) patients in non-seminoma. In seminoma, 40 (41.24%) patients reviewed with tumor size >4cm, 5 (5.15%) with rete testis invasion, 19 (19.59%) with both, and no risk factors were detected in 33 (34.02%) patients. No significant difference in the age of patients was shown after categorizing them according to their prognosis.

Conclusion: The findings align with global proportions and can support those interested in the field in reducing disease burden, but further research is needed, especially in Syria and the Middle East due to limited studies.

睾丸癌回顾性分析(2007-2025):单一机构经验。
背景:睾丸癌(TC)是15-39岁青少年和青壮年(AYAs)的主要癌症,也是最容易治愈的癌症之一。目的:探讨拉塔基亚大学医院放化疗中心的流行病学、组织学分型、诊断分期、预后、I期风险评估及预后与年龄的关系。方法:回顾性分析拉塔基亚大学医院化疗和放疗中心自2007年开业至2025年10月收治的318例睾丸癌患者。结果:中位诊断年龄为32岁。最常见的睾丸癌是生殖细胞型。在生殖细胞肿瘤中,非半细胞瘤型(51.6%)略高于半细胞瘤型(45.9%)。最常见的非半肿瘤亚型为混合生殖细胞瘤(29.9%)。TC患者多数处于I期,约三分之二的精原细胞瘤患者处于I期,约占非精原细胞瘤患者的一半,两种类型之间存在显著差异。血管浸润2例(2.86%),胚胎癌31例(44.29%),血管浸润合并胚胎癌8例(11.43%),非精原细胞瘤29例(41.43%)未检出危险因素。在精原细胞瘤中,40例(41.24%)患者肿瘤大小为bb0 ~ 4cm, 5例(5.15%)患者肿瘤大小为睾丸网浸润,19例(19.59%)患者肿瘤大小均为睾丸网浸润,33例(34.02%)患者未发现危险因素。根据预后对患者进行分类后,年龄差异无统计学意义。结论:研究结果与全球比例一致,可以支持对该领域感兴趣的人减轻疾病负担,但由于研究有限,需要进一步研究,特别是在叙利亚和中东。
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来源期刊
Research and Reports in Urology
Research and Reports in Urology UROLOGY & NEPHROLOGY-
CiteScore
3.40
自引率
0.00%
发文量
60
审稿时长
16 weeks
期刊介绍: Research and Reports in Urology is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of adult and pediatric urology in the clinic and laboratory including the following topics: Pathology, pathophysiology of urological disease Investigation and treatment of urological disease Pharmacology of drugs used for the treatment of urological disease Although the main focus of the journal is to publish research and clinical results in humans; preclinical, animal and in vitro studies will be published where they will shed light on disease processes and potential new therapies. Issues of patient safety and quality of care will also be considered.
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