Risk of testicular cancer in subfertile men: case-control study

H Møller, N E Skakkebaek

237 Citationer (Scopus)

Abstract

OBJECTIVE: To evaluate the association between subfertility in men and the subsequent risk of testicular cancer.

DESIGN: Population based case-control study.

SETTING: The Danish population.

PARTICIPANTS: Cases were identified in the Danish Cancer Registry; controls were randomly selected from the Danish population with the computerised Danish Central Population Register. Men were interviewed by telephone; 514 men with cancer and 720 controls participated.

OUTCOME MEASURE: Occurrence of testicular cancer.

RESULTS: A reduced risk of testicular cancer was associated with paternity (relative risk 0.63; 95% confidence interval 0.47 to 0.85). In men who before the diagnosis of testicular cancer had a lower number of children than expected on the basis of their age, the relative risk was 1.98 (1.43 to 2.75). There was no corresponding protective effect associated with a higher number of children than expected. The associations were similar for seminoma and non-seminoma and were not influenced by adjustment for potential confounding factors.

CONCLUSION: These data are consistent with the hypothesis that male subfertility and testicular cancer share important aetiological factors.

OriginalsprogEngelsk
TidsskriftBMJ (Clinical research ed.)
Vol/bind318
Udgave nummer7183
Sider (fra-til)559-62
Antal sider4
ISSN0959-8138
DOI
StatusUdgivet - 27 feb. 1999

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