Simple epidermoid cysts of testis

Ultrasound appearances of testicular epidermoid cysts

Benign testicular tumours are uncommon but if recognized can enable a conservative approach to surgery to be recommended. This pictorial review demonstrates the variety of sonographic appearances of testicular epidermoid cysts correlating them with pathological findings in 19 lesions, the largest reported imaged series to date. Atchley, J. T. M., Dewbury, K. C. (2000). Clinical Radiology 55, 493-502.

Ultrasound of testicular epidermoid cysts

The ultrasound findings of focal intratesticular lesions may sometimes be characteristic of benign pathology, which accounts for approximately 5% of all testicular tumours. Three cases of epidermoid cysts of the testis are presented along with a review of the literature. Recognition of the typical ultrasound appearances of this entity in a clinical situation of painless testicular swelling in the absence of a history of trauma and signs of inflammation can make testis-sparing surgery feasible.

Extratesticular epidermoid cyst with extension into the pelvis

We report a case of simple epidermoid cyst of the scrotum with extension into the pelvis. Complete excision was performed transcrotally and the presence of epidermoid cyst confirmed by histopathological examination. Simple excision was sufficient for treatment of this very rare lesion. The patient is now in the follow-up period.

Epidermoid cyst of the testis--benign teratoma in an adult. Case report

Epidermoid cyst of the testis, which is regarded as benign monodermal development of differentiated teratoma and comprises less than 1% of all testicular tumors, was found within the tunica albuginea in a 23-year-old man. Following peroperative histologic confirmation of its benign nature, the cyst was locally removed, thereby avoiding orchiectomy.

Epidermoid cyst of the testis: a critical analysis

Our experience with 163 patients (11 from our institution) with simple epidermoid cyst of the testis was analysed. The lesion is nearly as common as interstitial cell tumour of the testis. In its simple form it is a benign lesion that usually appears as a solitary, asymptomatic, testicular, 2-cm mass in non-black young men (usually 20 to 40 years of age). It has been suspected on circumstantial clinical evidence in a few patients (17.5%) who have been successfully treated by simple enucleation. In the majority, however, fear of looking for a zebra in a herd of horses or not thinking of zebras at all has led to radical orchiectomy. None of the 80 patients followed up for a maximum of 37 years has suffered any ill effects.

Epidermoid cysts of the testis: role of conservative surgery

Epidermoid cysts of the testis are rare benign lesions that clinically resemble intratesticular neoplasms. Preoperative testicular ultrasound and an operative frozen section biopsy may help to establish the diagnosis without resorting to orchiectomy. In such selected cases local excision alone should be considered adequate without violating accepted surgical principles.

Epidermoid cysts of the testicle

We report 4 cases of intratesticular cystic lesions. Three patients had epidermoid cysts and 1 had cystic mature teratoma initially diagnosed as an epidermoid cyst. In all cases an inguinal approach to testicular exploration was used.

Epidermoid cyst of the testis: a surgical approach for testicular preservation

We report on 6 patients with epidermoid cysts of the testis. Simple excision and testicular salvage are advocated when frozen section reveals the presence of an unequivocally benign lesion.

Epidermoid cyst of testis: a report of 3 cases

We report 3 cases of simple epidermoid cyst of the testis. These tumors often are mistaken clinically for malignancy. Conservative surgical treatment with preservation of the testis is desirable when preoperative ultrasound reveals a well demarcated cystic nodule confirmed by histological frozen sections.

Epidermoid cyst of testicle. Ultrasonographic characteristics

Epidermoid cyst is a benign lesion of the testis which represents approximately 1 per cent of all testicular tumors. We describe a case in which preoperative ultrasound of the testis suggested a benign testicular lesion, thus permitting testis-sparing surgery. The proper management of this lesion remains a source of urologic controversy, and we review the rationales for both radical orchiectomy and simple excision.