Intratesticular Epidermoid Cyst Masquerading as Testicular Torsion

Reviews in Urology

Jeremy Slawin²  Kevin Slawin¹ 

[1] Vanguard Urologic Institute at Memorial Hermann Medical Group, Houston, TX, Baylor College of Medicine, Texas Medical Center, Houston, TX, and Memorial Hermann Hospital, Texas Medical Center,, Houston, TX;Baylor College of Medicine, Texas Medical Center, Houston, TX and Rice University,, Houston, TX

关键词: Epidermoid cyst;    Testicular torsion;    Acute testicular pain;    Intratesticular;    Doppler ultrasound;   

DOI  :  

学科分类：基础医学

来源: MedReviews, LLC

【 摘 要 】

Epidermoid cysts are benign tumors that comprise approximately 1% of all testicular masses. They usually present as painless masses that can be identified on scrotal ultrasound as well-demarcated intratesticular lesions with mixed echogenicity. This case report describes a rare presentation of an extremely large intratesticular epidermoid cyst with clinical and radiologic findings more consistent with testicular torsion. The sizeable cyst obliterated the surrounding testicular parenchyma, causing it to appear on scrotal Doppler ultrasound as a testicle devoid of blood flow. This obliteration also resulted in failure to identify a testicular mass on physical examination or imaging. The current literature contains previous reports of extratesticular epidermoid cysts presenting as torsion; however, this is the first report of an intratesticular epidermoid cyst presenting in this manner. Though smaller cysts may be managed effectively with testicular-sparing surgery, optimal management of a cyst this size requires orchiectomy.

【 授权许可】

Unknown