title: Huge epidermoid cyst of the spermatic cord in an adult patient.
abstract: Tumors arising in the spermatic cord are uncommon and form a heterogeneous group of neoplasms. A variety of both benign and malignant lesions have been demonstrated. Benign tumors represent 80% of the total, but unfortunately clinical and sonographic features are not specific and they cannot safely differentiate a teratomatous or a malignant neoplasm from benign tumors. We report a case of a huge epidermoid cyst of the spermatic cord in an adult patient confirmed after local excision. The etiology, differential diagnosis, and management alternatives are discussed.
authors.affiliation: First Department of Propaedeutic Surgery, Hippocrateion Hospital, University of Athens, Athens Medical School, Athens, Greece.
authors.forename: Vagelogiannis
authors.initials: V
authors.lastname: Katergiannakis
authors.forename: Emmanuel E
authors.initials: EE
authors.lastname: Lagoudianakis
authors.forename: Haridimos
authors.initials: H
authors.lastname: Markogiannakis
authors.forename: Andreas
authors.initials: A
authors.lastname: Manouras
mesh_terms: D003937:Diagnosis, Differential; D004814:Epidermal Cyst / Q000175:diagnosis* / Q000601:surgery; D005500:Follow-Up Studies; D005834:Genital Neoplasms, Male / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D013085:Spermatic Cord / Q000000981:diagnostic imaging / Q000473:pathology; D014463:Ultrasonography; D013519:Urogenital Surgical Procedures / Q000379:methods