A 7-year history of an intratesticular mass: patient description and review of the literature about dermoid cysts of the testis.
A dermoid cyst is a particular form of a cystic teratoma. In the testis, it is very rare, with only a few cases reported in world literature. A 19-year-old patient come to our attention with a 7-year history of an intratesticular cystic mass. Sonography showed a large hypoechoic solid mass. The tumour markers alpha-fetoprotein, beta-human chorionic gondatotrophin, and lactate dehydrogenase were negative. Chest X-ray was negative. He underwent surgical exploration of the right testis and enucleation of the mass with testis preservation. At 14 month of follow-up, the patient had no complications and no recurrence of the lesion. Surgical enucleation is the treatment of choice in consideration of hormonal, psychological, and reproductive aspects. Orchiectomy should have been the treatment of choice, if the mass had substituted all testicular parenchyma and if there had been some malignant transformations.
Viganò
Paolo
P
Department of Urology, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy. paolvig@hotmail.com
Picozzi
Stefano Carlo Maria
SC
Manganini
Vittorio
V
Casu
Marilena
M
Giuberti
Alfio
A
Mazza
Luciano
L
Strada
Guido Raffaele
GR
D000328:Adult; D003884:Dermoid Cyst / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D018450:Disease Progression; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009919:Orchiectomy; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000601:surgery; D013997:Time Factors