Clinics in diagnostic imaging (149). Bilateral testicular epidermoid cysts

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 lef...

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Bibliographic Details
Published inSingapore medical journal Vol. 54; no. 11; pp. 611 - 4; quiz 615
Main Authors Pattamapaspong, Nuttaya, Muttarak, Malai, Kitirattrakarn, Pruit, Sukhamwang, Neelaya
Format Journal Article
LanguageEnglish
Published Singapore 01.11.2013
Subjects
Adult
Biopsy, Needle
Education, Medical, Continuing
Epidermal Cyst - diagnostic imaging
Epidermal Cyst - pathology
Epidermal Cyst - surgery
Follow-Up Studies
Humans
Immunohistochemistry
Male
Risk Assessment
Testicular Diseases - diagnostic imaging
Testicular Diseases - pathology
Testicular Diseases - surgery
Testis - surgery
Treatment Outcome
Ultrasonography, Doppler, Color - methods
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Summary: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.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
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ObjectType-Review-1
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ISSN:0037-5675