BBC News Online: Health

Testicular cancer deaths plunge

Only Swedish men have enjoyed such a dramatic improvement in their fortunes.

However men in eastern Europe are not faring so well, an international study published in the Lancet has found.

Death rates in that region are dropping - but at a far slower rate.

In 1998 there were 1,380 cases and 86 deaths.

However, death rates in the UK are still higher than those in the USA and Japan, where the latest treatments became available earlier.

Curable

Deaths from testicular cancer have actually increased in some eastern European countries, with Bulgaria seeing a 13% rise and Poland a 16% rise.

Researcher Dr Fabio Levi said: "Our results indicate that in central and Eastern Europe, widespread and substantial inadequacies exist in adopting adequate treatments."

Professor Peter Boyle, Chairman of Prevention and Control at Imperial Cancer Research Fund, and a co-author of the article, said: "Testicular cancer is a classic example of a cancer that is generally curable when the right treatment is given.

"In spite of the number of cases increasing, deaths from testicular cancer have been declining in North America and Western Europe since the late seventies.

"Death rates in men below age 45 have fallen by about a third in the late 1980s compared to rates in the 1970s. This corresponds to about 500 deaths avoided per year."

He added: "It's comforting to know that the mortality rate is dropping now in the Central and Eastern European countries, although the decline is less rapid than that in observed decades previously in Western countries.

"If the reason for this is merely financial, then we must take rapid steps to correct this situation."