Epidermoid cysts of the testis: the case for conservative surgery.
The series comprises 6 patients (mean age, 21 years) who presented with an epidermoid cyst of the testis between 1991 and 1998. Pre-operative ultrasonography suggested the presence of a testicular cancer in 3 patients who underwent a radical orchidectomy. The ultrasound successfully predicted the true diagnosis in 3 patients who had a wedge excision of the cyst together with a cuff of normal surrounding tissue. All patients are free of disease with a mean follow-up of 3 years. With increasing awareness of the condition coupled with accurate pre-operative radiological imaging, local excision of an epidermoid cyst with preservation of the remainder of the testis is now a feasible and rational alternative to more radical surgery.
Gupta
S K
SK
Department of Urology, University Hospital of Wales, Cardiff, UK.
Golash
A
A
Thomas
J A
JA
Cochlin
D
D
Griffiths
D
D
Jenkins
B J
BJ
D000293:Adolescent; D000328:Adult; D004814:Epidermal Cyst / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013733:Testicular Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography; D013521:Urologic Surgical Procedures, Male / Q000379:methods