The aim of this study was to explore the incidence of testicular cance
r (TC) in Norway, and thereby to increase the understanding of aetiolo
gical factors. From 1955 to 1992, a total number of 3927 TC cases were
recorded in Norway, of which 51% were seminomas, 45% non-seminomas an
d 4% other and unspecified types. The age-standardised incidence rate
increased from 2.7 to 8.5 per 100 000. The age-specific incidence rate
increased in all age groups, but was most marked in the younger popul
ation. The significance of birth cohort as a risk factor for developme
nt of TC was confirmed. The incidence by birth cohorts from 1916 to 19
70 showed an increase by later birth cohorts during the whole period,
with the exception of a marked fall for the cohort born during the Sec
ond World War. The largest increase occurred after the war. We conclud
e that environmental factors acting very early in life are of signific
ance in the development of TC.