[Testicular epidermoid cyst].
BACKGROUND
Testicular tumors are usually managed by radical orchiectomy because of the high incidence of malignant lesions. Epidermoid cyst of the testis is a rare benign tumor, and its differential diagnosis from malignant testicular tumors is difficult.


METHODS
The clinical records of seven patients who attended our hospital with testicular epidermoid cysts were reviewed. Preoperative evaluation consisted of testicular ultrasonography in 6 patients, and magnetic resonance imaging in 4 patients. A peroperative biopsy was performed in four patients.


RESULTS
Ultrasonographic appearance was specific for diagnosis of epidermoid cyst in 80% of patients. Pathological diagnosis was made in all biopsies taken during surgery. Conservative management was (tumorectomy or partial orquidectomy) performed in 6 patients (85%).


CONCLUSIONS
Preoperative imaging findings, gross characteristics of the lesion, and peroperative biopsy results provide adequate information to attempt testis-sparing surgery instead of radical orchiectomy.
Leal
D
D
Servicio de Urología, Hospital POVISA, Vigo, Galicia, España. luisfarina@yahoo.es
Fariña
L
L
Pesqueira
D
D
Meijide
F
F
Quintana
J L
JL
Muller
C
C
Regojo
J M
JM
Antón
I
I
D000293:Adolescent; D000328:Adult; D002648:Child; D004814:Epidermal Cyst / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D013733:Testicular Diseases / Q000175:diagnosis / Q000601:surgery; D055815:Young Adult