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Editorial / Editoriale

"In our cohort study of 16,983 men who were surgically treated for cryptorchidism, we found that the risk of testicular cancer among men who were treated at 13 years of age or older was approximately twice that among men who underwent orchiopexy before the age of 13. The results indicate that age at treatment for cryptorchidism has an effect on the risk of testicular cancer, and thus that cryptorchidism in itself could be a cause of testicular cancer. Current clinical guidelines recommend treatment for cryptorchidism before 2 years of age, or as early as 6 months of age. Thus, our results support these guidelines. Whether treatment as early as before 1 year of age decreases the risk of future testicular cancer even further is not known, and needs to be studied further. The results also suggest that puberty, defined arbitrarily in our study as beginning at the age of 13 years, is another crucial event in testicular carcinogenesis. Testicular cancer is generally believed to be caused by environmental factors operating already in utero. Based on the results of this and other studies, we propose that future studies on the aetiology of testicular should also take postnatal exposures during puberty into account." .
(Comment on paper: Pettersson A et al.: "Age at surgery for undescended testis and risk of testicular cancer.", N Engl J Med. 2007 May 3;356(18):1835-41)

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Literature Selection / Selezione della Letteratura

Editorial / Editoriale

"Key points on our paper are the following: 1) In young women not previously infected with HPV 6,11, 16 or 18 the quadrivalent vaccine is 100% efficacious in preventing infection and associated cervical dysplasia from these vaccine related HPV types. The prevention of  the precancerous lesions of CIN 2/3 are thus surrogates for prevention of cervical cancer . 2) In young women not previously infected with HPV 6,11, 16 or 18 the quadrivalent vaccine is 100% efficacious in preventing infection and associated vaginal and or vulvar intraepithelial neoplasias grade 2/3, surrogate markers for vaginal and vulval cancers. 3) In young women not previously infected with HPV 6,11, 16 or 18 the quadrivalent vaccine is 100% efficacious in preventing infection and associated external anogenital warts 4) In young women not previously infected with HPV 6,11, 16 or 18 the quadrivalent vaccine is 100% efficacious in preventing infection and associated adenocarcinoma in situ grade 2/3,  the precancerous lesions of adenocarcinoma, a cancer poorly predicted by Pap screening cytology. 5)  In young women previously infected with any of HPV 6,11, 16 or 18 the quadrivalent vaccine is 100% efficacious in preventing infection and associated disease from those vaccine related HPV types to which they have not been previously infected. I.e. a woman may had previous types six, but with the vaccine is equally protected to 16, 18 and 11 and as compared to a woman completely naïve to all four viruses". 
(Comment on paper: 
Garland SM et al.: "Quadrivalent vaccine against the human papillovmavirus to prevent anogenital diseases", N Engl J Med 2007 May; 356:1928-1943)

 

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