A unique scrotal extratesticular epidermod cyst attached to the seminal vesicles

Abstract

E244 research researchCite as: Can Urol Assoc J 2013;7:E244-7. http://dx.doi.org/10.5489/cuaj.546 AbstractA 46-year-old man was admitted with a scrotal long standing painless mass. The workup included physical examination, alpha-fetoprotein (αFP) and beta-human chorionic gonadotropin (β-hCG) analyses, scrotal ultrasound, magnetic resonance imaging and urethrocystoscopy. Surgical exploration revealed a separate mass between the testes extending superiorly with a thin stalk. It was dissected easily to the anterior aspect of the seminal vesicles and removed from the junction to the seminal vesicles. Pathology reported an epidermoid cyst. To our knowledge this is the first case of a scrotal extratesticular epidermoid cyst attached to the seminal vesicles.

Infected giant right seminal vesicle epidermoid cyst in young male patient with ipsilateral solitary kidney: Case report

“… 7 Another case report described a scrotal epidermoid cyst attached to the anterior aspect of the seminal vesicles in the midline. 8 …”

Unmasking the Uncommon: A Case Report of Scrotal Epidermoid Cysts in a Nine-Year-Old Boy

“…These tumors can occur at any age but are more common in the second to fourth decade of life [ 1 ]. They may be unilateral, bilateral, singular, or multiple and can be found at any place from the cranium to the anus in the midline [ 2 , 3 ]. The two main mechanisms by which the dermal epithelium reaches the deeper tissues and forms cysts are as follows:…”

“…Soft tissue lesions are better delineated on MRI. Therefore, it is preferable to use MRI instead of CT [ 2 ]. Pathologically, these lesions are squamous epithelium-lined cysts, containing keratin-like, cheesy white, flaky material, similar to those epidermoid cysts that occur intracutaneously [ 1 , 4 ].…”

“…One more such case has been reported by Van Gelderen et al, with a dermoid arising from the posterior aspect of the prostate and seminal vesicles [ 5 ]. In April 2013, Sağlam et al published a similar case where the cyst was attached to the seminal vesicles [ 2 ]. This makes our case the third such case to be reported.…”

Scrotal Epidermoid Cyst Presenting as Extra-Testicular Scrotal Mass: A Diagnostic Dilemma

“…Scrotal and extra-testicular epidermoid cysts, as was the case in our patient, are very rare; the number of cases published in the English literature is less than 10. [2] Case Report A 36-year-old male presented in outpatient department with testicular discomfort and left scrotal swelling. He reported that the swelling appeared around two years back and has gradually progressed.…”