The Testis Completely Replaced by a Huge Epidermal Cyst in an Older Man

Abstract

Epidermal cysts are commonly encountered, slow-growing superficial cysts in the hair-bearing areas of the body, and are usually discovered in the second and fourth decades of life. These cysts tend to be superficial, meaning that they can be easily found by ultrasound and digital palpation at a moderate degree of growth. However, we found a huge testicular cyst that went undetected until old age. In this report, we describe the interesting case of a patient in whom the right testis was totally replaced with an epidermal cyst. The cyst was found by ultrasonography and further evaluated with magnetic resonance imaging. We performed orchiectomy under the impression of an epidermal cyst. The pathologic report confirmed this clinical impression. Over 24 months of follow-up, we did not find any recurrence of a growing mass on the testis.

Testicular epidermoid cysts: a reevaluation

“…Accordingly, one of our cases underwent orchiectomy. Similar cases are reported [6, 11]. Recurrences after TSS have not yet been experienced until now and the same is true for 7 of our patients in whom follow-up is available.…”

“…All these features were confirmed in our series. Reportedly, patients with TEC may have exceptionally long symptomatic intervals [10, 11]. Accordingly, two of our patients had noted a testicular nodule for as long as 10 and 13 years before surgery, respectively.…”

Testicular epidermoid cyst: A rare case

“…A complete or incomplete lining of squamous epithelial filled with white/gray desquamated keratinized debris or proteinaceous material is seen. [ 1 8 9 ] The mass is surrounded by compressional atrophy while the seminiferous tubules located away from the mass are normal in appearance. [ 3 11 ] Histologically, immunological staining for placental alkaline phosphatase shows the absence of testicular intraepithelial neoplasia.…”

“…Epidermoid cysts are benign masses of epithelial hyperplasia commonly found in hair-bearing areas. [ 1 ] However, testicular epidermoid cysts are a rare cause of testicular pathology responsible for 2.1% of all testicular masses. [ 2 3 4 ] Both germ cell tumors and epidermoid cysts are seen most commonly in Caucasians, within the second to fourth decade of life.…”

Testicular Epidermoid Cyst: A Rare Case Report

“…Epidermoid cysts are benign masses of epithelial hyperplasia which are commonly found in hair-bearing areas [1] . However, testicular epidermoid cysts are still a rare cause of testicular pathology which only responsible for 2.1% of all testicular masses [2] .…”