[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-378729-105":59,"doc-detail-378729-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","reasons-behind-the-delayed-diagnosis-of-testicular-cancer-a-retrospective-analysis","Reasons behind the Delayed Diagnosis of Testicular Cancer - A Retrospective Analysis","","The study identifies factors contributing to delayed diagnosis of testicular cancer among Polish men diagnosed in 2015–2016. Data from 72 patients (18–69 years) were split using median time to diagnosis into a timely group (≤10 weeks, n=40) and a delayed group (>10 weeks, n=32). Delay correlated with worse 5-year overall survival (78.1% vs 92.5%). Multivariate logistic regression found delayed diagnosis associated with age >33 and rural residence, with partner absence and shame approaching significance, informing social campaign planning and improved quality and trust of internet-based resources.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/reasons-behind-the-delayed-diagnosis-of-testicular-cancer-a-retrospective-analysis/378729/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/reasons-behind-the-delayed-diagnosis-of-testicular-cancer-a-retrospective-analysis/378729.png","ImageObject",300,407,{"name":92,"@type":93},"Finn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-25","2026-09-24",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What distinguishes timely versus delayed diagnosis in this study?","Question",{"text":112,"@type":113},"Patients were classified by elapsed time to diagnosis using the median: timely diagnosis occurred within 10 weeks of initial manifestation, while delayed diagnosis occurred more than 10 weeks after initial manifestation.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does delayed diagnosis affect survival outcomes?",{"text":117,"@type":113},"Diagnosis more than 10 weeks after first symptoms was linked to less favorable 5-year overall survival compared with timely diagnosis.",{"name":119,"@type":110,"acceptedAnswer":120},"Which factors are associated with delayed diagnosis?",{"text":121,"@type":113},"Multivariate logistic regression identified age over 33 years and residence in the countryside as independent predictors. Lack of a regular intimate partner and feeling shame were additional factors that approached statistical significance.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},378729,1790744905,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},34359740700684,"https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487","Article  \nReasons behind the Delayed Diagnosis of Testicular Cancer: A Retrospective Analysis  \nWojciech A. Cie´slikowski *, Michał Kasperczak, Tomasz Milecki and Andrzej Antczak  \nDepartment of Urology, Poznan University of Medical Sciences, 61-701 Poznan, Poland  \n* [Correspondence: wcieslikowski@ump.edu.pl](Correspondence: wcieslikowski@ump.edu.pl)  \nAbstract: The aim of the present study was to identify the reasons behind the delayed diagnosis of testicular cancer in a group of Polish males diagnosed with this malignancy in 2015–2016 . The study included data from 72 patients aged between 18 and 69 years. Based on the median time elapsed to the testicular cancer diagnosis, the study patients were divided into the timely diagnosis group (diagnosis within 10 weeks from initial manifestation, n = 40) and the delayed diagnosis group (diagnosis > 10 weeks from initial manifestation, n = 32) . Diagnosis of testicular cancer > 10 weeks after its initial manifestation was associated with less favorable survival (5-year overall survival: 78.1%[95% CI: 59.5–88.9%] vs. 92.5%[95% CI: 78.5–97.5%], p = 0.087) . Multivariate logistic regression analysis identified two independent predictors of the delayed diagnosis, age > 33 years (OR = 6.65, p = 0.020) and residence in the countryside (OR = 7.21, p = 0.012), with another two parameters, the lack of a regular intimate partner (OR = 3.32, p = 0.098) and the feeling of shame (OR = 8.13, p = 0.056), being at the verge of statistical significance. All the factors mentioned above should be considered during planning social campaigns aimed at the early detection of testicular malignancies, along with improving the quality and trustfulness of Internet-based information resources.  \nCitation: Cie´slikowski, W.A.; Kasperczak, M.; Milecki, T.; Antczak, A. Reasons behind the Delayed Diagnosis of Testicular Cancer: A Retrospective Analysis. Int. J.  \nEnviron. Res. Public Health 2023, 20, 4752. [https://doi.org/10.3390/](https://doi.org/10.3390/)[ ](https://doi.org/10.3390/)ijerph20064752  \nAcademic Editors: Małgorzata Piasecka, Marcin Słojewski and Artur Lemi ´nski  \nReceived: 31 January 2023  \nRevised: 27 February 2023  \nAccepted: 2 March 2023  \nPublished: 8 March 2023  \nCopyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ([https://](https://)[ ](https://)[creativecommons.org/licenses/by/](creativecommons.org/licenses/by/)[ ](creativecommons.org/licenses/by/)[4.0/](4.0/)) .  \nKeywords: testicular cancer; diagnosis; survival; screening; public health  \n1. Introduction  \nTesticular cancer is the most common malignancy diagnosed in younger males (20–44 years of age), with the yearly number of new cases estimated at 71,000 worldwide and 1200 in Poland [1,2] . Usually, the disease is diagnosed at early stages, and with radical orchidectomy, 5-year cancer-specific survival rates are high, up to 95%[3] . However, the prognosis worsens considerably if testicular cancer is diagnosed at higher clinical stages [4] . The data included in the Surveillance, Epidemiology, and End Results (SEER) program database created by the US National Cancer Institute show clearly that the stage at the diagnosis had a dramatic impact on prognosis in American patients diagnosed with testicular cancer between 2011 and 2017. While the 5-year relative survival rate for patients diagnosed with localized testicular cancer, limited to the testicles, approximated 99%, the likelihood of survival decreased to 96% in the case of regional malignancies involving regional lymph nodes and surrounding structures and down to 73% if distant metastases occurred [5] .  \nLike in the case of other malignancies, a key to the early diagnosis of testicular cancer is the awareness of its early manifestations and appropriate screening [6] . Typically, testicular cancer manifests as painless enlargement of th","cbCaikh8qpPDFupI","https://ap.wps.com/l/cbCaikh8qpPDFupI","pdf",619268,"English","# Introduction\n## Epidemiology and prognosis by stage\n## Early manifestations and need for awareness\n## Diagnostic pathway: self-examination, ultrasound, tumor markers, and histopathology","[{\"question\":\"What distinguishes timely versus delayed diagnosis in this study?\",\"answer\":\"Patients were classified by elapsed time to diagnosis using the median: timely diagnosis occurred within 10 weeks of initial manifestation, while delayed diagnosis occurred more than 10 weeks after initial manifestation.\"},{\"question\":\"How does delayed diagnosis affect survival outcomes?\",\"answer\":\"Diagnosis more than 10 weeks after first symptoms was linked to less favorable 5-year overall survival compared with timely diagnosis.\"},{\"question\":\"Which factors are associated with delayed diagnosis?\",\"answer\":\"Multivariate logistic regression identified age over 33 years and residence in the countryside as independent predictors. Lack of a regular intimate partner and feeling shame were additional factors that approached statistical significance.\"}]","Reasons behind the Delayed Diagnosis of Testicular Cancer - A Retrospective Analysis | PDF",1790232105,23]