Screening for testicular cancer Familial predisposition ignored

BMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6955.665 (Published 10 September 1994) Cite this as: BMJ 1994;309:665
  1. R A Huddart,
  2. M G Leahy
  1. Institute of Cancer Research, Sutton, Surrey SM2 5NG Imperial Cancer Research Fund, London WC2A 3PX
  2. Cancer Medicine Research Unit, University of Bradford, Bradford, West Yorkshire BD7 1DP.

    EDITOR, - Joan Austoker clearly evaluates the advantages and disadvantages of population screening for testicular cancer.1 We agree that screening of the general population cannot be justified on present evidence and that greater awareness of this tumour in the general population and among the medical profession should be encouraged. Austoker does not, however, discuss the now substantial evidence concerning familial predisposition to testicular cancer.

    Forman et al showed that sons of men with the disease had a relative risk of developing it themselves of 4.0 and that brothers of men with the disease had a relative risk of 9.8.2 Thus siblings of patients with testicular cancer have a …

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