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Treatment not testicular cancer poses greatest risk to survivors' long-term health
Date:10/15/2009

vivors report similar health-related quality of life to age-matched controls. However these measures do not cover body image and masculinity, issues that have been inadequately researched. It is suggested that survivors adapt to their new situation and take their cancer into account when rating their quality of life.

  • Anxiety levels are increased and are significantly associated with young age, peripheral neuropathy, economic problems, alcohol problems, sexual problems, fear of reoccurrence and having been treated for mental problems. Findings on depression are contradictory, but links between higher levels of depression and unhealthy lifestyles, particularly smoking, need urgent investigation.

  • About 17 per cent of survivors suffer chronic fatigue, almost twice the normal population, and this is associated with a wide range of factors, including older age, greater economic and sexual problems and poorer physical and mental health.

  • Sexual functioning is similar to age-matched controls, possibly because survivors adapt to their post cancer life. However survivors who have had the lymph nodes removed in their abdomen can experience more ejaculation problems.

  • Work is important for survivors' health-related quality of life and, at least in Norway, they have the same living conditions, job stress and work engagement as age-matched controls, despite their poorer physical work ability.

    "Current patients with testicular cancer should be informed about the risk of short-term and particularly long-term side-effects of their highly effective treatment" concludes Professor Fossa.

    "It is important to focus on reducing risks through healthy lifestyle choices and consider important issues like preserving future fertility.

    "We would also like to see screening guidelines developed to ensure that the long-term side-effects are diagnosed and treated as early as possible."


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  • Contact: Annette Whibley
    wizard.media@virgin.net
    Wiley-Blackwell
    Source:Eurekalert

    Page: 1 2 3

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