To explore prenatal risk factors that are common to testicular cancer and cryptorchidism, two parallel case-control studies
were conducted in Denmark. Information about characteristics of the mother, the pregnancy, and the birth were obtained from
the mothers of cases and controls, using a mailed self-administered questionnaire. A maternal age above 30 years was associated
with odds ratios (OR) of 1.9 (95 percent confidence interval [CI]= 1.2-3.0) for cryptorchidism and 2.0 (CI = 1.2-3.6) for
testicular seminoma; the latter effect was particularly high when the boy was the first child of the mother (OR = 4.1, CI
= 1.1-14.6). Birth weights below 3,000 g or above4,000 g were associated with increased risks of testicular cancer, with OR
sup to 2.6 (CI = 1.1-5.9) for birth weight below 2,500 g. For cryptorchidism, there was a monotonous trend in the OR from
0.4 in birth weights above 4,500 g to 2.3 in birth weights below 2,500 g. The association between cryptorchidism and testicular
cancer was not attenuated by adjustment for maternal age and birthweight, indicating that all three variables are independent
risk factors for testicular cancer. With the exception of high maternal age, which consistently is associated more strongly
with seminoma than withnon-seminoma, it remains most likely that seminoma and non-seminoma have similar causes.
Cryptorchidism - Denmark - men - testicular neoplasms
This revised version was published online in July 2006 with corrections to the Cover Date.