Skip to main content
British Journal of Cancer logoLink to British Journal of Cancer
. 1994 Sep;70(3):513–520. doi: 10.1038/bjc.1994.337

Social, behavioural and medical factors in the aetiology of testicular cancer: results from the UK study. UK Testicular Cancer Study Group.

PMCID: PMC2033353  PMID: 8080739

Abstract

Although many risk factors have been proposed for the aetiology of testicular cancer, only a history of cryptorchidism is well established. All risk factors previously suggested have been explored in this study. This population-based case-control study was carried out in nine health regions in England and Wales and included 794 men, aged 15-49 years, diagnosed with a testicular germ cell tumour between 1 January 1984 and 30 September 1986, each with an individually age-matched control. Cases and controls were interviewed and data were abstracted from their general practitioner notes. Participation rates for cases and controls were 92.0% and 83.1% respectively. Where possible the mother of each interviewed man was sent a postal questionnaire for self-completion. Testicular trauma at least 2 years prior to diagnosis was associated with an odds ratio (OR) of 2.00 [95% confidence interval (CI) 1.54-2.61]. Ever having had a sexually transmitted disease was also associated with an increased risk (OR = 2.22, 95% CI 1.46-3.39). There was little evidence of an association with cigarette smoking. Sporting activity had a protective effect. Detailed exploration of testicular temperature (wearing of tight underpants, jeans or trousers, hot baths and central heating) failed to reveal any relationship with risk of testicular cancer. There were no clear occupational associations.

Full text

PDF
513

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brown L. M., Pottern L. M., Hoover R. N. Testicular cancer in young men: the search for causes of the epidemic increase in the United States. J Epidemiol Community Health. 1987 Dec;41(4):349–354. doi: 10.1136/jech.41.4.349. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Brown L. M., Pottern L. M. Testicular cancer and farming. Lancet. 1984 Jun 16;1(8390):1356–1356. doi: 10.1016/s0140-6736(84)91853-1. [DOI] [PubMed] [Google Scholar]
  3. Chilvers C. E., Pike M. C., Peckham M. J. Torsion of the testis: a new risk factor for testicular cancer. Br J Cancer. 1987 Jan;55(1):105–106. doi: 10.1038/bjc.1987.21. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Coldman A. J., Elwood J. M., Gallagher R. P. Sports activities and risk of testicular cancer. Br J Cancer. 1982 Nov;46(5):749–756. doi: 10.1038/bjc.1982.267. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Depue R. H., Pike M. C., Henderson B. E. Estrogen exposure during gestation and risk of testicular cancer. J Natl Cancer Inst. 1983 Dec;71(6):1151–1155. [PubMed] [Google Scholar]
  6. FIELD T. E. The role of trauma in the aetiology of testicular neoplasms. J R Army Med Corps. 1963;109:58–61. [PubMed] [Google Scholar]
  7. Graham S., Gibson R., West D., Swanson M., Burnett W., Dayal H. Epidemiology of cancer of the testis in upstate New York. J Natl Cancer Inst. 1977 May;58(5):1255–1261. doi: 10.1093/jnci/58.5.1255. [DOI] [PubMed] [Google Scholar]
  8. Haughey B. P., Graham S., Brasure J., Zielezny M., Sufrin G., Burnett W. S. The epidemiology of testicular cancer in upstate New York. Am J Epidemiol. 1989 Jul;130(1):25–36. doi: 10.1093/oxfordjournals.aje.a115319. [DOI] [PubMed] [Google Scholar]
  9. Hayes R. B., Brown L. M., Pottern L. M., Gomez M., Kardaun J. W., Hoover R. N., O'Connell K. J., Sutzman R. E., Javadpour N. Occupation and risk for testicular cancer: a case-control study. Int J Epidemiol. 1990 Dec;19(4):825–831. doi: 10.1093/ije/19.4.825. [DOI] [PubMed] [Google Scholar]
  10. Henderson B. E., Benton B., Jing J., Yu M. C., Pike M. C. Risk factors for cancer of the testis in young men. Int J Cancer. 1979 May 15;23(5):598–602. doi: 10.1002/ijc.2910230503. [DOI] [PubMed] [Google Scholar]
  11. Karagas M. R., Weiss N. S., Strader C. H., Daling J. R. Elevated intrascrotal temperature and the incidence of testicular cancer in noncryptorchid men. Am J Epidemiol. 1989 Jun;129(6):1104–1109. doi: 10.1093/oxfordjournals.aje.a115232. [DOI] [PubMed] [Google Scholar]
  12. Lipworth L., Dayan A. D. Rural preponderance of seminoma of the testis. Cancer. 1969 May;23(5):1119–1121. doi: 10.1002/1097-0142(196905)23:5<1119::aid-cncr2820230516>3.0.co;2-j. [DOI] [PubMed] [Google Scholar]
  13. Loughlin J. E., Robboy S. J., Morrison A. S. Risk factors for cancer of the testis. N Engl J Med. 1980 Jul 10;303(2):112–113. doi: 10.1056/NEJM198007103030218. [DOI] [PubMed] [Google Scholar]
  14. Mills P. K., Newell G. R., Johnson D. E. Testicular cancer associated with employment in agriculture and oil and natural gas extraction. Lancet. 1984 Jan 28;1(8370):207–210. doi: 10.1016/s0140-6736(84)92125-1. [DOI] [PubMed] [Google Scholar]
  15. Newell G. R., Mills P. K., Johnson D. E. Epidemiologic comparison of cancer of the testis and Hodgkin's disease among young males. Cancer. 1984 Sep 15;54(6):1117–1123. doi: 10.1002/1097-0142(19840915)54:6<1117::aid-cncr2820540633>3.0.co;2-y. [DOI] [PubMed] [Google Scholar]
  16. Schottenfeld D., Warshauer M. E., Sherlock S., Zauber A. G., Leder M., Payne R. The epidemiology of testicular cancer in young adults. Am J Epidemiol. 1980 Aug;112(2):232–246. doi: 10.1093/oxfordjournals.aje.a112989. [DOI] [PubMed] [Google Scholar]
  17. Swerdlow A. J., Huttly S. R., Smith P. G. Prenatal and familial associations of testicular cancer. Br J Cancer. 1987 May;55(5):571–577. doi: 10.1038/bjc.1987.116. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Talerman A., Kaalen J. G., Fokkens W. Rural preponderance of testicular neoplasms. Br J Cancer. 1974 Feb;29(2):176–178. doi: 10.1038/bjc.1974.54. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES