Canadian consensus guidelines for the management of testicular germ cell cancer

T esticular tumours are uncommon but constitute an important group of malignancies in young men. Worldwide, it is estimated that there were more than 48 500 new cases and 8900 deaths from the disease in 2002. 1 The vast majority are primary germ cell tumours (GCTs) and the incidence has doubled in the past 30 years (with most of the increase in seminomas). 2 While most patients present with early-stage and highly curable disease, the continued rise in the incidence of these tumours presents a major challenge.