Introduction

The majority of testicular cancers are germ cell tumours. Germ cell tumours are relatively rare, being the fourteenth most common cancer in men overall. It is, however, the commonest cancer in young men (20-40 years) and its incidence has doubled over the last 30 years. The reason for this increase in incidence is not clear. The age group which the disease affects and the fact that the majority of patients are curable, even when the disease has metastasized, makes this a particularly important disease for oncologists. It is one of the few curable solid tumours once it has metastasized and there is an overall survival of about 90%.

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