Ariana Znaor, Joannie Lortet-Tieulent, Ahmedin Jemal, Freddie Bray 

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International Variations and Trends in Testicular Cancer Incidence and Mortality  Ariana Znaor, Joannie Lortet-Tieulent, Ahmedin Jemal, Freddie Bray  European Urology  Volume 65, Issue 6, Pages 1095-1106 (June 2014) DOI: 10.1016/j.eururo.2013.11.004 Copyright © 2013 European Association of Urology Terms and Conditions

Fig. 1 International variation in estimates of national age-standardised testicular cancer (a) incidence rates and (b) mortality rates, all ages. Source: GLOBOCAN 2008 [1]. European Urology 2014 65, 1095-1106DOI: (10.1016/j.eururo.2013.11.004) Copyright © 2013 European Association of Urology Terms and Conditions

Fig. 2 (a) Testicular cancer incidence in selected cancer registries, 2000–2004; average of rates for 5 yr in the time period, all ages; countries with <5 yr are indicated with an asterisk. Source: Cancer Incidence in Five Continents [4]. (b) Testicular cancer mortality rates in selected countries, 2000–2006, sorted in descending order of magnitude of age-standardised rates; average of rates for 7 yr in the time period, all ages; countries with <7 yr are indicated with an asterisk. Source: WHO mortality database [22]. The following is a list of regional registries (in parentheses) that provided incidence data and represent their countries: Brazil (Goiania), Canada (Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland, Nova Scotia, Northwest Territories, Ontario, Prince Edward Island, Saskatchewan), China (Hong-Kong and Shanghai), Colombia (Cali), Ecuador (Quito), France (Bas-Rhin, Calvados, Doubs, Isere, Somme and Tarn), Germany (Berlin, Brandenburg, Mecklenburg, Saxony, Saxony-Anhalt, Schleswig-Holstein and Thuringia), India (Chennai), Italy (Florence, Romagna, Veneto and Ferrara, Latina, Modena and Parma provinces), Japan (Miyagi, Nagasaki, Osaka and Yamagata), Philippines (Manila and Rizal), Poland (Cracow city, Kielce and Warsaw city), Spain (Granada, Murcia, Navarra, Tarragona and Zaragoza), Switzerland (Geneva and St-Gall-Appenzell), Thailand (Chiang Mai and Khon Kaen), United Kingdom (England and Scotland), United States blacks and whites (SEER: states of Connecticut, Hawaii, Iowa, New Mexico, and Utah; metropolitan areas of San Francisco-Oakland [California], Detroit [Michigan], Seattle-Puget Sound [Washington], and Atlanta [Georgia]). SEER=Surveillance Epidemiology and End Results; W=world. European Urology 2014 65, 1095-1106DOI: (10.1016/j.eururo.2013.11.004) Copyright © 2013 European Association of Urology Terms and Conditions

Fig. 2 (a) Testicular cancer incidence in selected cancer registries, 2000–2004; average of rates for 5 yr in the time period, all ages; countries with <5 yr are indicated with an asterisk. Source: Cancer Incidence in Five Continents [4]. (b) Testicular cancer mortality rates in selected countries, 2000–2006, sorted in descending order of magnitude of age-standardised rates; average of rates for 7 yr in the time period, all ages; countries with <7 yr are indicated with an asterisk. Source: WHO mortality database [22]. The following is a list of regional registries (in parentheses) that provided incidence data and represent their countries: Brazil (Goiania), Canada (Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland, Nova Scotia, Northwest Territories, Ontario, Prince Edward Island, Saskatchewan), China (Hong-Kong and Shanghai), Colombia (Cali), Ecuador (Quito), France (Bas-Rhin, Calvados, Doubs, Isere, Somme and Tarn), Germany (Berlin, Brandenburg, Mecklenburg, Saxony, Saxony-Anhalt, Schleswig-Holstein and Thuringia), India (Chennai), Italy (Florence, Romagna, Veneto and Ferrara, Latina, Modena and Parma provinces), Japan (Miyagi, Nagasaki, Osaka and Yamagata), Philippines (Manila and Rizal), Poland (Cracow city, Kielce and Warsaw city), Spain (Granada, Murcia, Navarra, Tarragona and Zaragoza), Switzerland (Geneva and St-Gall-Appenzell), Thailand (Chiang Mai and Khon Kaen), United Kingdom (England and Scotland), United States blacks and whites (SEER: states of Connecticut, Hawaii, Iowa, New Mexico, and Utah; metropolitan areas of San Francisco-Oakland [California], Detroit [Michigan], Seattle-Puget Sound [Washington], and Atlanta [Georgia]). SEER=Surveillance Epidemiology and End Results; W=world. European Urology 2014 65, 1095-1106DOI: (10.1016/j.eururo.2013.11.004) Copyright © 2013 European Association of Urology Terms and Conditions

Fig. 3 Trends in testicular cancer; age-standardised (world) incidence (regional or national) and mortality (national) rates, all ages. Rates ≤0.1 per 100 000 are not plotted. In the United States, there were no available mortality data for the 1968–1978 period. In Iceland, the mortality rate was 0.0 for 26 nonconsecutive years, including the 1986–2000 period. Mortality data are for England and Wales. Dots are observed values; solid lines are locally weighted regression curves (30% of the data were used in smoothing each point). Sources: incidence, Cancer Incidence in Five Continents [4] and cancer registry Web sites; mortality, World Health Organization Mortality Database [22]. European Urology 2014 65, 1095-1106DOI: (10.1016/j.eururo.2013.11.004) Copyright © 2013 European Association of Urology Terms and Conditions

Fig. 3 Trends in testicular cancer; age-standardised (world) incidence (regional or national) and mortality (national) rates, all ages. Rates ≤0.1 per 100 000 are not plotted. In the United States, there were no available mortality data for the 1968–1978 period. In Iceland, the mortality rate was 0.0 for 26 nonconsecutive years, including the 1986–2000 period. Mortality data are for England and Wales. Dots are observed values; solid lines are locally weighted regression curves (30% of the data were used in smoothing each point). Sources: incidence, Cancer Incidence in Five Continents [4] and cancer registry Web sites; mortality, World Health Organization Mortality Database [22]. European Urology 2014 65, 1095-1106DOI: (10.1016/j.eururo.2013.11.004) Copyright © 2013 European Association of Urology Terms and Conditions

Fig. 3 Trends in testicular cancer; age-standardised (world) incidence (regional or national) and mortality (national) rates, all ages. Rates ≤0.1 per 100 000 are not plotted. In the United States, there were no available mortality data for the 1968–1978 period. In Iceland, the mortality rate was 0.0 for 26 nonconsecutive years, including the 1986–2000 period. Mortality data are for England and Wales. Dots are observed values; solid lines are locally weighted regression curves (30% of the data were used in smoothing each point). Sources: incidence, Cancer Incidence in Five Continents [4] and cancer registry Web sites; mortality, World Health Organization Mortality Database [22]. European Urology 2014 65, 1095-1106DOI: (10.1016/j.eururo.2013.11.004) Copyright © 2013 European Association of Urology Terms and Conditions

Fig. 4 Average annual percentage change in testicular cancer (a) incidence and (b) mortality rates for the last 10 yr of available data by region, all ages. * Regional registries. European Urology 2014 65, 1095-1106DOI: (10.1016/j.eururo.2013.11.004) Copyright © 2013 European Association of Urology Terms and Conditions

Fig. 4 Average annual percentage change in testicular cancer (a) incidence and (b) mortality rates for the last 10 yr of available data by region, all ages. * Regional registries. European Urology 2014 65, 1095-1106DOI: (10.1016/j.eururo.2013.11.004) Copyright © 2013 European Association of Urology Terms and Conditions