Testis-sparing surgery in testicular mass: Testicular epidermoid cysts

Abstract

We present 3 patients with testicular epidermoid cysts who experienced testis-sparing surgery. These patients had a palpable painless testicular mass and underwent inguinal testicular exploration. Intraoperative frozen section revealed no evidence of malignancy and therefore enucleation of the tumour was performed. We demonstrate that careful intraoperative frozen-section examination helps to avoid unnecessary orchidectomy in testicular epidermoid cysts.

Incidental Findings and How to Manage Them: Testis— A WFUMB Position Paper

“…The onion-ring configuration is the most common and characteristic type and, where no vascularity is present with normal tumour markers, allows for a confident sonographic diagnosis (Manning and Woodward 2010); TSS can by recommended for smaller lesions (Heidenreich et al 1996;Mahdavi-Zafarghandi et al 2014;Anheuser et al 2019). Similar morphological features of ECs may be seen with MRI (Langer et al 1999).…”