A Comparison of Testicular Tumors in Black and White Patients

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Abstract
Testicular tumors are uncommon in black compared to white patients, but several reports have indicated that this disease is more lethal in black patients. The records of 840 post-puberal patients with primary tumors of the testis seen between 1949 and 1979 were reviewed. There were 17 black and 823 white patients. The predominant tumor in both groups of patients was seminoma. Ten black (58.8%) and 329 white patients (40%) had seminoma. Two black and 4 white patients had interstitial cell tumors. Only 5 black patients (29%) had a non-seminomatous germ cell testicular tumor; 494 white patients (60%) had such a tumor. An overall better prognosis in black than in white patients was suggested. The rarity of this disease in black patients was demonstrated. Black patients with testicular tumors apparently have a better prognosis than was reported previously.