Epidermoid cyst arising from the spermatic cord area

Multiple scrotal and testicular epidermoid cysts: A rare case report

Epidermoid cysts are benign lesions occurring on the skin usually; however, it rarely occurs in the scrotum or testicular area, and even more rarely the association of multiple epidermal cysts on the scrotum and testis. We report a case of multiple epidermal cysts on the scrotum and testis of a 40-year-old man who consulted for scrotal nodules. To our best knowledge, this is the first case to be reported in the literature. In this paper, we will discuss the histogenesis, the ultrasound features, and the complications of scrotal and testicular epidermal cysts.

Epidermoid Cyst of the Testis: Sonographic Characteristic Appearance

Intratesticular epidermoid cysts are rare, benign, well-defined, and solitary keratinized intratesticular lesions. They usually present as a painless, discrete, and firm swollen area before being diagnosed. Preoperative diagnosis of epidermoid cysts is often difficult. Sonography is a useful imaging modality in the preoperative assessment of testicular lesions. Although it is difficult to distinguish epidermoid cysts from germ cell tumors, certain sonographic characteristics such as the classical “onion-peel” appearance, the negative tumor markers, and the underlying symptoms should raise the suspicion of epidermoid cysts.

Epidermoid Cyst in Inguinal Canal: A Rare Presentation

The patients presenting with lump in inguinal area are mostly suspected as hernias. Epidermoid cyst commonly presenting in head and neck region rarely may develop from inguinal canal structures. We present here a rare case of epidermoid cyst measuring 7×8 cm as a content of inguinal canal diagnosed by ultrasonography. Surgical excision was done and confirmed as epidermoid cyst by histopathology. We conclude that cutaneous cysts in inguinal area may be a presentation and should be kept in mind for differential diagnosis.

MRI features of growth hormone deficiency in children with short stature caused by pituitary lesions

We verified the advantages of using magnetic resonance imaging (MRI) for improving the diagnostic quality of growth hormone deficiency (GHD) in children with short stature caused by pituitary lesions. Clinical data obtained from 577 GHD patients with short stature caused by pituitary lesions were retrospectively analyzed. There were 354 cases (61.3%) with anterior pituitary dysplasia; 45 cases (7.8%) of pituitary stalk interruption syndrome (PSIS); 15 cases (2.6%) of pituitary hyperplasia due to primary hypothyroidism; 38 cases (6.6%) of Rathke cleft cyst; 68 cases (11.8%) of empty sella syndrome; 16 cases (2.8%) of pituitary invasion from Langerhans cell histiocytosis; 2 cases (0.3%) of sellar regional arachnoid cyst and 39 cases (6.8%) of craniopharyngioma. MRI results showed that the height of anterior pituitary in patients was less than normal. Location, size and signals of posterior pituitary and pituitary stalk were normal in anterior pituitary dysplasia. In all cases pituitary hyperplasia was caused by hypothyroidism. MRI results showed that anterior pituitary was enlarged, and we detected upward apophysis and obvious homogeneous enhancement. There were no pituitary stalk interruption and abnormal signal. We also observed that after hormone replacement therapy the size of pituitary gland was reduced. Anterior pituitary atrophy was observed in Rathke cleft cyst, empty sella syndrome, sellar regional arachnoid cyst and craniopharyngioma. The microstructure of hypophysis and sellar region was studied with MRI. We detected pituitary lesions, and the characteristics of various pituitary diseases of GHD in children with short stature. It was concluded that in children with GHD caused by pituitary lesions, MRI was an excellent method for early diagnosis. This method offers clinical practicability and we believe it can be used for differential diagnosis and to monitor the therapeutic effects.

Epidermoid cyst of round ligament: case report and review of literature

Round ligament tumors are rare, and when found are typically leiomyomas. Herein is described a case of an epidermoid cyst of the round ligament, previously reported only once in the literature. Epidermoid cysts are similar to dermoid tumors but have only an epidermis-lined structure filled with keratin. Management included laparoscopic removal of the tumor. The patient's recovery was uneventful.

Multiple epidermoid cysts arising from the extratesticular scrotal, spermatic cord and perineal area

An extratesticular scrotal epidermoid cyst is a relatively very rare condition, and an epidermoid cyst arising from the spermatic cord area is extremely rare. We report a case of multiple epidermoid cysts arising from the extratesticular scrotum, spermatic cord, and lower extremities. To our best knowledge, concomitant occurrence of these lesions has not been reported previously in the literature.

Huge epidermoid cyst of the spermatic cord in an adult patient

Tumors arising in the spermatic cord are uncommon and form a heterogeneous group of neoplasms. A variety of both benign and malignant lesions have been demonstrated. Benign tumors represent 80% of the total, but unfortunately clinical and sonographic features are not specific and they cannot safely differentiate a teratomatous or a malignant neoplasm from benign tumors. We report a case of a huge epidermoid cyst of the spermatic cord in an adult patient confirmed after local excision. The etiology, differential diagnosis, and management alternatives are discussed.