Patients' delay in the presentation of testis cancer in Ireland

Br J Urol. 1987 May;59(5):447-51. doi: 10.1111/j.1464-410x.1987.tb04844.x.


A study of 217 cases of testis cancer in Ireland revealed a longer duration of symptoms (median 2.8 months, mean 10 months) than elsewhere: 32% of patients waited at least 6 months before seeking medical advice. Delay was associated with metastases (P = 0.001), diminished prospects of cure (P = 0.001) and increased mortality (P = 0.002) but not with marker status or complexity of treatment required. Eleven per cent did not notice a detectable swelling and 25% waited at least 3 months after such a discovery. These facts and the incidence of maldescent (12%, with more than two-thirds untreated) highlight the need for better health education in this area.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude to Health
  • Health Education
  • Humans
  • Ireland
  • Male
  • Patient Acceptance of Health Care*
  • Prognosis
  • Testicular Neoplasms / diagnosis*
  • Testicular Neoplasms / pathology
  • Time Factors