Bilateral Testicular Epidermoid Cysts

Loberant, Norman; Bhatt, Shweta; Messing, Edward M.; Dogra, Vikram S.

doi:10.4103/2156-7514.73502

Cited by 16 publications

(9 citation statements)

References 18 publications

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“…Epidermoid cysts are benign testicular lesions that can sometimes mimic testicular malignancies at US. At histologic analysis, epidermoid cysts appear as unilocular cysts filled with keratin or other desquamated material and are lined with squamous epithelium (55). Because testicular malignancies are much more common than epidermoid cysts, a painless testicular mass, especially in a young man, is more likely a malignancy.…”

Section: Epidermoid Cystsmentioning

confidence: 99%

Testicular Tumors: What Radiologists Need to Know—Differential Diagnosis, Staging, and Management

Moreno¹,

Small²,

Camacho³

et al. 2015

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Cryptorchidism, family history, and infertility are risk factors for testicular cancer. Most testicular cancers occur in young men aged 18-35 years, and seminoma is the most common cell type. Testicular tumors are usually diagnosed at ultrasonography (US) and are staged at computed tomography (CT) or magnetic resonance (MR) imaging. At US, testicular tumors usually appear as a solid intratesticular mass. Because the differential diagnosis includes infarct and infection, correlation with patient history and symptoms is important. At staging CT or MR imaging, retroperitoneal lymph nodes are considered regional lymph nodes, and the greatest nodal diameter is used to distinguish among N1-N3 disease. The right testicular vein drains into the inferior vena cava, and the left testicular vein drains into the left renal vein. Because of venous and lymphatic drainage pathways, retroperitoneal lymph nodes are the initial landing station for testicular cancers. Enlarged lymph nodes in the supraclavicular region, chest, and pelvis are considered distant metastases. Testicular cancer is initially treated with orchiectomy. The patient may then undergo active surveillance, chemotherapy, radiation therapy, or retroperitoneal lymph node resection, depending primarily on the clinical stage. Radiologists play an important role in initial diagnosis, staging, and imaging surveillance of testicular malignancies.

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Section: Epidermoid Cystsmentioning

confidence: 99%

Testicular Tumors: What Radiologists Need to Know—Differential Diagnosis, Staging, and Management

Moreno¹,

Small²,

Camacho³

et al. 2015

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120

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“…Most lesions are unilateral, solitary masses, unless they are associated with Gardner syndrome, Klinefelter syndrome, or cryptorchidism, which can be multiple, bilateral, or both. 4,5,14–17 Epidermoid cysts present in varying sizes, ranging from 0.5 to 10.5 cm, with a mean size of 2 to 3 cm in diameter. 4–6,18–21 Most patients with epidermoid cysts are asymptomatic and may present with a smooth, firm, well-circumscribed, palpable, and painless intratesticular mass.…”

Section: Discussionmentioning

confidence: 99%

Epidermoid Cyst of the Testis: Sonographic Characteristic Appearance

Ghazle

2018

Journal of Diagnostic Medical Sonography

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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.

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“…(1,2) Bilateral testicular epidermoid cysts are even rarer, and to our knowledge, only 15 patients have been reported in the English literature. (3)(4)(5)(6) Multiple cysts have been reported in patients with Gardner syndrome, Klinefelter syndrome and cryptorchid testes. (7,8) The age of affected patients range from 3 to 77 years, with the majority in the second to fourth decades of life.…”

Section: Discussionmentioning

confidence: 99%

Clinics in diagnostic imaging (149)

Pattamapaspong

Muttarak²,

Kitirattrakarn³

et al. 2013

smedj

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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.

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Bilateral Testicular Epidermoid Cysts

Cited by 16 publications

References 18 publications

Testicular Tumors: What Radiologists Need to Know—Differential Diagnosis, Staging, and Management

Testicular Tumors: What Radiologists Need to Know—Differential Diagnosis, Staging, and Management

Epidermoid Cyst of the Testis: Sonographic Characteristic Appearance

Clinics in diagnostic imaging (149)

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