Several epidemiological studies have described increasing trends over
time in the incidence of testicular cancer in adult men. Less attentio
n has been given to the trends in young boys, adolescents and old men.
This paper describes the incidence of testicular cancer in young boys
(0-4 years) and adolescents (15-19 years) in Denmark, Norway and Swed
en, and compares these trends with the corresponding data on adults. A
lthough only small numbers were available, the data suggest that the i
ncidence of testicular cancer in young boys has been constant, at a le
vel around 0.5 per 100,000. This observation lends support to the idea
that testicular cancer in young boys is aetiologically distinct from
testicular cancer in adults. In all three populations we found a parti
cularly high average annual increase in the incidence of testicular ca
ncer in adolescents (around 6% per year). It is proposed that this inc
rease is mainly caused by a secular trend towards earlier age at puber
ty. (C) 1995 Wiley-Liss, Inc.