This study aimed to represent the recent trends in the nationwide incidence of cryptorchidism and hypospadias in Korea, and to determine whether there is evidence of spatial heterogeneity in the incidence. The inciden...This study aimed to represent the recent trends in the nationwide incidence of cryptorchidism and hypospadias in Korea, and to determine whether there is evidence of spatial heterogeneity in the incidence. The incidence was calculated as the number of newly diagnosed patients (males) during the first 4 years after a live birth in a population, nationally and regionally (a non-industrialized area (Chuncheon) and petrochemical estates (Yeocheon and Ulsan)), between 2000 and 2005. The data (numerator) for new patients were acquired from the National Health Insurance Review Agency, and the data (denominator) for the resident registration population were from the National Statistical Office. Between 2000 and 2005, the national incidence of cryptorchidism and hypospadias had an increased tendency from 5.01 to 17.43 per 10 000 persons and from 1.40 to 3.28 per 10 000 persons, respectively. The incidence of cryptorchidism was significantly higher in Yeocheon (throughout the study period) and in Ulsan (2001, 2002, 2004 and 2005) than the national incidence, whereas the incidence in Chuncheon was significantly lower in 2001 and 2002. It was difficult to compare the rates of hypospadias yearly and regionally because of the small number of cases. In conclusion, the incidence of cryptorchidism has recently increased in Korea. The petrochemical estates, Yeocheon and Ulsan, had a significantly higher incidence of cyptorchidism than the national incidence, which suggests that further study is needed to obtain a more precise estimation of the trends in the incidence of the anomalies and to confirm the association between petrochemicals and the anomalies.展开更多
Objective: We summarized the relationship between the descent of a testicle into the scrotum and testicular cancer.Methods: Twenty-eight patients with testicular cancer after surgical treatment of cryptorchidism were ...Objective: We summarized the relationship between the descent of a testicle into the scrotum and testicular cancer.Methods: Twenty-eight patients with testicular cancer after surgical treatment of cryptorchidism were retrospective analysis.Results: All patients were performed surgical treatment of cryptorchidism from 2 to 28 years old (median,12 years;average,16 years).Testicular cancer age ranged from 19 to 53 years (median,33 years;average,36 years).Malignant transformation occurred from 3 to 25 years of operation time (average,18 years).Twenty-seven cases of malignant cryptorchidism ipsilateral,contralateral malignancy in 1 case,27 cases were underwent radical resection of testicular cancer.Pathology diagnosis was mainly seminoma.Retroperitoneal lymph node dissection was done in 3 cases,18 cases were chemotherapy and radiotherapy in 3 cases.Conclusion: The undescended testicle is the most common genital malformation in boys.When diagnosed,it should be treated as early as possible,but successful treatment appears not to lessen the risk of testicular cancer,patients must be closely monitored follow-up.展开更多
文摘This study aimed to represent the recent trends in the nationwide incidence of cryptorchidism and hypospadias in Korea, and to determine whether there is evidence of spatial heterogeneity in the incidence. The incidence was calculated as the number of newly diagnosed patients (males) during the first 4 years after a live birth in a population, nationally and regionally (a non-industrialized area (Chuncheon) and petrochemical estates (Yeocheon and Ulsan)), between 2000 and 2005. The data (numerator) for new patients were acquired from the National Health Insurance Review Agency, and the data (denominator) for the resident registration population were from the National Statistical Office. Between 2000 and 2005, the national incidence of cryptorchidism and hypospadias had an increased tendency from 5.01 to 17.43 per 10 000 persons and from 1.40 to 3.28 per 10 000 persons, respectively. The incidence of cryptorchidism was significantly higher in Yeocheon (throughout the study period) and in Ulsan (2001, 2002, 2004 and 2005) than the national incidence, whereas the incidence in Chuncheon was significantly lower in 2001 and 2002. It was difficult to compare the rates of hypospadias yearly and regionally because of the small number of cases. In conclusion, the incidence of cryptorchidism has recently increased in Korea. The petrochemical estates, Yeocheon and Ulsan, had a significantly higher incidence of cyptorchidism than the national incidence, which suggests that further study is needed to obtain a more precise estimation of the trends in the incidence of the anomalies and to confirm the association between petrochemicals and the anomalies.
文摘Objective: We summarized the relationship between the descent of a testicle into the scrotum and testicular cancer.Methods: Twenty-eight patients with testicular cancer after surgical treatment of cryptorchidism were retrospective analysis.Results: All patients were performed surgical treatment of cryptorchidism from 2 to 28 years old (median,12 years;average,16 years).Testicular cancer age ranged from 19 to 53 years (median,33 years;average,36 years).Malignant transformation occurred from 3 to 25 years of operation time (average,18 years).Twenty-seven cases of malignant cryptorchidism ipsilateral,contralateral malignancy in 1 case,27 cases were underwent radical resection of testicular cancer.Pathology diagnosis was mainly seminoma.Retroperitoneal lymph node dissection was done in 3 cases,18 cases were chemotherapy and radiotherapy in 3 cases.Conclusion: The undescended testicle is the most common genital malformation in boys.When diagnosed,it should be treated as early as possible,but successful treatment appears not to lessen the risk of testicular cancer,patients must be closely monitored follow-up.