Share this Article
Pattamapaspong N, Muttarak M, Kitirattrakarn P, Sukhamwang N
Correspondence: Prof Malai Muttarak, malai.muttarak@gmail.com
ABSTRACT
A 33-year-old man presented with a painless, non-growing left testicular mass for five years. Preoperative ultrasonography (US) of the scrotum showed a small, circumscribed calcific mass in the right testis and another well-defined heterogeneous echoic mass with a partially calcified wall in the left testis, with avascularity on colour Doppler US. These imaging findings in a clinical setting of non-growing testicular masses were highly suggestive of epidermoid cysts, thus leading to testis sparing surgery. Histopathology confirmed bilateral epidermoid cysts. To the best of our knowledge, only 15 cases of bilateral epidermoid cysts have been reported. We discuss the US features of epidermoid cyst and its surgical management, as well as various cases of testicular masses.
Singapore Med J 2013; 54(11): 611-615; http://dx.doi.org/10.11622/smedj.2013219
REFERENCES
| 1. Dieckmann KP, Loy V. Epidermoid cyst of the testis: a review of clinical and histogenetic considerations. Br J Urol 1994; 73:436-41. http://dx.doi.org/10.1111/j.1464-410X.1994.tb07611.x |
||||
| 2. Moghe PK, Brady AP. Ultrasound of testicular epidermoid cysts. Br J Radiol 1999; 72:942-5. | ||||
| 3. Cittadini G, Gauglio C, Pretolesi F, Santacroce E, Derchi LE. Bilateral epidermoid cysts of the testis: sonographic and MRI findings. J Clin Ultrasound 2004; 32:370-2. http://dx.doi.org/10.1002/jcu.20047 |
||||
| 4. Khalid M, Malik N, Salauddin MA, Rashid M. Concomitant bilateral testicular epidermoid cysts. Saudi Med J 2008;29:907-9. | ||||
| 5. Loberant N, Bhatt S, Messing E, Dogra VS. Bilateral testicular epidermoid cysts. J Clin Imaging Sci 2011; 1:4. http://dx.doi.org/10.4103/2156-7514.73502 |
||||
| 6. Su CM, Lee YL, Huang SP, Chou YH, Huang CH. Testicular sparing surgery for bilateral epidermoid cysts of the testes: a case report. Kaohsiung J Med Sci 2004; 20:83-5. http://dx.doi.org/10.1016/S1607-551X(09)70089-0 |
||||
| 7. Loya AG, Said JW, Grant EG. Epidermoid cyst of the testis: radiologicpathologic correlation. Radiographics 2004; 24 Suppl 1:S243-6. http://dx.doi.org/10.1148/rg.24si035223 |
||||
| 8. Shah KH, Maxted WC, Chun B. Epidermoid cysts of the testis: a report of three cases and an analysis of 141 cases from the world literature. Cancer 1981; 47:577-82. http://dx.doi.org/10.1002/1097-0142(19810201)47:3<577::AID-CNCR2820470325>3.0.CO;2-C |
||||
| 9. Woodward PJ, Sohaey R, O'Donoghue MJ, Green DE. From the archives of the AFIP: tumors and tumorlike lesions of the testis: radiologic-pathologic correlation. Radiographics 2002; 22:189-216. http://dx.doi.org/10.1148/radiographics.22.1.g02ja14189 |
||||
| 10. Cho JH, Chang JC, Park BH, Lee JG, Son CH. Sonographic and MR imaging findings of testicular epidermoid cysts. AJR Am J Roentgenol 2002; 178:743-8. http://dx.doi.org/10.2214/ajr.178.3.1780743 |
||||
| 11. Dogra VS, Gottlieb RH, Rubens DJ, Liao L. Benign intratesticular cystic lesions: US features. Radiographics 2001; 21 Spec No:S273-81. http://dx.doi.org/10.1148/radiographics.21.suppl_1.g01oc15s273 |
||||
| 12. Dogra VS, Gottlieb RH, Rubens DJ, Oka M, Di Sant Agnese AP. Testicular epidermoid cysts: sonographic features with histopathologic correlation. J Clin Ultrasound 2001; 29:192-6. http://dx.doi.org/10.1002/1097-0096(200103/04)29:3<192::AID-JCU1018>3.0.CO;2-W |
||||
| 13. Maizlin ZV, Belenky A, Baniel J, et al. Epidermoid cyst and teratoma of the testis: sonographic and histologic similarities. J Ultrasound Med 2005; 24:1403-9; quiz 1410-1. | ||||
| 14. Kim W, Rosen MA, Langer JE, et al. US MR imaging correlation in pathologic conditions of the scrotum. Radiographics 2007; 27:1239-53. http://dx.doi.org/10.1148/rg.275065172 |
||||
| 15. Weitzner S. Epidermoid cyst of testis: report of five cases and review of the literature. J Urol 1964; 91:380-6. | ||||
| 16. Price EB Jr. Epidermoid cysts of the testis: a clinical and pathologic analysis of 69 cases from the testicular tumor registry. J Urol 1969; 102:708-13. | ||||
| 17. Heidenreich A, Engelmann UH, Vietsch HV, Derschum W. Organ preserving surgery in testicular epidermoid cysts. J Urol 1995; 153:1147-50. http://dx.doi.org/10.1016/S0022-5347(01)67534-7 |
||||