Types of testicular tumors in Shahid Beheshti Hospital of Babol, Iran, during 2001‒2021

Background. Testicular tumors account for about 1% of all male cancers. Considering that there is no accurate information about the prevalence of testicular tumors in Iran, this study aimed to investigate the types of testicular tumors in the hospitals of Babol University of Medical Sciences. Methods. Overall, 100 patients participated in this cross-sectional-analytical study, including patients with testicular tumors who underwent surgery and had pathological samples in the hospitals of Babol University of Medical Sciences (2001‒2021). Demographic and clinical data were collected from their files in the form of a checklist, and the patient’s status was determined by telephone follow-ups. The data were described and analyzed using SPSS 25 and statistical indicators (P=0.05). Results. In general, 100 men, with an average age of 32.90±10.70 (mostly between 21 and 30 years), whose testicular tumors were operated, were included in the study. The reason for referral for most of them (68 patients) was the presence of a mass, and the diagnosis of tumor type was seminoma and non-seminoma for 40 and 60 people, respectively. Non-seminoma was mostly reported in 30 people (76.92%) in patients aged 21‒30 years, while seminoma was mostly detected in the age group of 31‒40 years (17 people, 51.52%). The relationship between the age group (P=0.008) and underlying disease history (P=0.032) and the tumor type was significant. Death occurred in 10 patients, all of whom had non-seminoma tumors, and the relationship between the outcome and the type of tumor was significant (P=0.006). All patients with seminoma tumors were alive until the end of the follow-up. Conclusion. Non-seminoma tumors were more common in men with testicular tumors. In addition, the survival rate of non-seminoma was lower than that of seminoma. According to our findings, the average age of the testicular tumor was 33 years. Practical Implications. Testicular tumors as a common cancer in young people, and any patient with testicular enlargement without pain should be considered by doctors.