Current results from therapy of testicular tumors

Four hundred and fourteen cases of testicular germinal tumors treated at Roswell Park between 1920 and 1965 were reviewed. Seminoma was found to occur more often in older age groups than embryonal carcinoma or terato-carcinoma. The incidence of prior trauma and history of maldescent were noted. The 2 most important prognostic factors were found to be histology and clinical stage. Other less significant factors were age, duration of symptoms, and positive chorionic gonadotrophin. The current different conventional modalities of therapy played only a subsidiary role in overall survival of testicular tumors.