Clinical Edge

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Familial Testicular Germ Cell Tumors

Identifying risks for family males

Despite relatively low numbers of individuals per family affected by testicular germ cell tumors (TGCTs), members of families with multiple people affected and members of families with people affected by sporadic-bilateral TGCT are high-risk groups for incident testicular cancer. This according to a study of 1,260 men with TGCT from 140 families. Researchers found:

• 8 incident TGCTs occurred during follow-up, for an excess absolute risk of 7.2 per 10,000.

• The incidence rate of TGCT is greater among bloodline male relatives from families that have experienced multiple cases of testicular cancer than the rate expected in the general population.

• This pattern is characteristic of adult-onset Mendelian cancer susceptibility disorders.

• 2 of the incident TGCTs occurred in relatives of patients with sporadic-bilateral disease.

Citation: Pathak A, Adams CD, Loud JT, Nichols K, Stewart DR, Greene MH. Prospectively-identified incident testicular cancer risk in a familial testicular cancer cohort. [Published online ahead of print August 11, 2015]. Cancer Epidemiol Biomarkers Prev. doi: 10.1158/1055-9965.EPI-14-1240.