Testicular epidermoid cyst: report of a new case and bibliographic review
Martínez Silva, Víctor.Manuel.; Cruceyra Betriu, G.; Piedra Lara, Jé.David.; Capitán Manjón, C.; Carrero López, Víctor.Manuel.; Leiva Galvis, O.
Archivos Espanoles de Urologia 57(6): 641-643
2004
ISSN/ISBN: 0004-0614 PMID: 15382440 Document Number: 580796
The epidermoid cyst of the testis is a rare benign tumor. It accounts for approximately 1% of all testicular tumors. Generally, the testis has a palpable, painless mass with tumor markers (AFP, BHCG, and LDH) within normal ranges. Pathology reveals a cavity consisting of squamous epithelial cells containing keratin and non-nucleated keratic flakes in the absence of atypia or elements of teratoma. We report the case of a young man who was diagnosed of epidermoid cyst after orchiectomy. Tumor enucleation would be a proper treatment when ultrasound studies suggest this diagnosis. However, we often perform orchiectomy due to a low rate of suspicion, non conclusive ultrasound studies, or due to the high percentage of malignant testicular tumors in this age range.