Epidermoid cyst: rare testicular tumor in children

Fujino, Junko; Yamamoto, Hideki; Kisaki, Yoshiyuki; Ishimaru, Yuki; Uchida, Hiroo; Mori, Yutaka; Nozaki, Miwako; Ikeda, Hitoshi

doi:10.1007/s00247-003-1052-0

Cited by 10 publications

(15 citation statements)

References 12 publications

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“…Both enucleation and orchiectomy have been performed to remove the lesion [ 3 , 7 ]. However, because the clinical course of the disease is universally favorable and no recurrences or metastasis have been observed, conservative testis-sparing surgery is recommended as the treatment of choice [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

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Epidermoid Cyst of the Testicle

Thapa¹,

Pruthi²,

Ishak³

2009

Radiology Case Reports

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We describe the case of a 13-year-old boy with testicular epidermoid cyst who presented with a painless testicular mass. Epidermoid cyst of the testis is a benign, non-teratomatous tumor. It is often possible to make the diagnosis preoperatively, combining typical sonographic features with normal biochemical tumor markers. Preoperative diagnosis will allow for testis-sparing surgery and prevent unnecessary orchiectomy.

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Section: Discussionmentioning

confidence: 99%

“…However, it should be part of the differential diagnosis when considering childhood testicular masses. Because surgical approach and management depend on preoperative radiological findings [ 9 ] and biochemical markers, it is important to identify this rare tumor in order to prevent aggressive surgery, such as orchiectomy.…”

Section: Discussionmentioning

confidence: 99%

Epidermoid Cyst of the Testicle

Thapa¹,

Pruthi²,

Ishak³

2009

Radiology Case Reports

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“…No obstante, en las últimas décadas la cirugía conservadora, definida como enucleación o tumorectomía con preservación del parénquima sano, se ha posicionado como el estándar de tratamiento de tumores testiculares en menores de 12 años, puesto que se ha descrito una tasa de benignidad cercana al 80% (16,17). En casos de lesiones quísticas que se presumen benignas, el abordaje quirúrgico de elección es la enucleación (2,18), dado el mínimo riesgo de recidiva, metástasis o atrofia residual (8,11,19,20,21,22).…”

Section: Introductionunclassified

Lesión quística testicular en un lactante: consideraciones diagnósticas y terapéuticas

2019

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Introducción: Los tumores testiculares prepuberales suelen ser benignos. Las lesiones quísticas constituyen un amplio diagnóstico diferencial de las masas benignas escrotales en niños. Una adecuada evaluación incluye el examen clínico, la ecografía Doppler y la medición de marcadores tumorales. Ante una fuerte sospecha clínica y radiológica de benignidad, el tratamiento de elección es la enucleación con preservación del parénquima. Objetivo: Describir el caso de un lactante con una masa quística de testículo compatible con quiste epidermoide. Discutir los aspectos clínicos, imagenológicos y terapéuticos más relevantes de las lesiones testiculares prepuberales. Presentación del caso: Un lactante ingresa por identificación de una masa testicular circunscrita no dolorosa de 1 cm de diámetro. La ecografía demuestra un quiste simple intraparenquimatoso y los marcadores tumorales son negativos. Se realiza enucleación por vía escrotal, sin complicaciones. El estudio histopatológico es compatible con un quiste epidermoide. Hubo seguimiento a 3 años sin recidiva ni atrofia testicular. Discusión y conclusión: Teniendo en cuenta que la mayoría de los tumores prepuberales de testículo son benignos, la cirugía conservadora puede considerarse una alternativa terapéutica ante una lesión circunscrita, pequeña, avascular, con marcadores tumorales negativos.

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“…Intratesticular epidermoid cysts are uncommon, benign keratin-containing lesions, occurring in any age group from young children to elderly male populations. 1,2 They are typically round to oval in shape and 2 to 3 cm in mean size. 3 Most epidermoid cysts present as unilateral, solitary, painless, and palpable masses.…”

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confidence: 99%

Epidermoid Cyst of the Testis: Sonographic Characteristic Appearance

Ghazle

2018

Journal of Diagnostic Medical Sonography

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Intratesticular epidermoid cysts are rare, benign, well-defined, and solitary keratinized intratesticular lesions. They usually present as a painless, discrete, and firm swollen area before being diagnosed. Preoperative diagnosis of epidermoid cysts is often difficult. Sonography is a useful imaging modality in the preoperative assessment of testicular lesions. Although it is difficult to distinguish epidermoid cysts from germ cell tumors, certain sonographic characteristics such as the classical "onion-peel" appearance, the negative tumor markers, and the underlying symptoms should raise the suspicion of epidermoid cysts.

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Epidermoid cyst: rare testicular tumor in children

Abstract: Epidermoid cyst of the testis, extremely rare in children, is a non-teratomatous benign tumor, and testis-sparing surgery should be the treatment of choice. To prevent unnecessary orchiectomy, recognition of this rare tumor in children is essential.

Cited by 10 publications

References 12 publications

Epidermoid Cyst of the Testicle

Epidermoid Cyst of the Testicle

Lesión quística testicular en un lactante: consideraciones diagnósticas y terapéuticas

Epidermoid Cyst of the Testis: Sonographic Characteristic Appearance

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