Unusual presentation of epidermoid cyst from testis in an aging male

Abstract

Epidermoid cysts, which constitute 1% of all testicular tumors, are considered to be benign even though histogenesis is not clear. Patients usually suffer from painless scrotal mass or this mass is realized during the routine physical examination. Hematospermia may be a finding for both benign and malignant testicular tumors. Many authors advocate the testicular sparing surgery in the treatment but epidermoid cysts are usually treated with radical inguinal orchiectomy, because of the difficulties in the diagnosis, concurrence of the malignant tumors, and the debate on the histogenesis.

Epidermoid cyst discovered concomitant with torsion of the spermatic cord: A case report

“… 11 Furthermore, differentiating epidermoid cysts from other testicular tumors presents a challenge due to their similar clinical presentation as a non-tender, smooth, palpable mass, emphasizing the necessity for a comprehensive clinical approach to ensure an accurate diagnosis. 1 In addition, certain atypical forms have been described, notably the case of an epidermoid cyst revealed by hematospermia, 12 and two cases of benign tumors mimicking testicular torsion in triorchidism. 13 , 14 …”

Primary squamous cell carcinoma of the testis: a rare presentation

“…The histological features of epidermoid cysts have shown that the cysts are usually lined by squamous cells and contain keratin 6. There are usually no teratoma features present in the cyst and they usually have normal tumour markers 7…”