Survival Analysis Survival from testicular cancer in England and Wales up to 2001

Testicular cancer has a peak incidence at around 30 years of age, and it is the most common cancer in men under 35 years of age, accounting for a third of all cancers in that age range (Adami et al, 1994). The age distribution is unusual among adult malignancies, with almost 70 % of cases arising in men under 40 years of age, and only about 2 % in men over 70 years of age. Incidence has increased steadily in many developed countries over the last 50 years, including the United Kingdom (Coleman et al, 1993; Richiardi et al, 2004). In men under 50 years of age, incidence has risen almost two-fold in England and Wales in the last 30 years, but the increase has been much smaller among older men (Quinn et al, 2001). Age-standardised mortality was 1 per 100 000 per year during the 1950s, and it rose slightly during the 1960s and 1970s. Advances in the treatment of testicular cancer since the 1960s have had a dramatic effect on survival (Coleman et al, 1999), and men bor