Dr. med. Dirk Manski



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Epidermoid Cyst of the Testis

Epidermoid cyst of the testis is a benign encapsulated testicular tumor, which is composed of epidermal cells.

Epidemiology

1% of testicular tumors are epidermoid cysts.

Etiology of Epidermoid Cysts of the Testis

Epidermoid cysts of the testis are caused by scattered epidermal cells. Alternatively, a teratoma with exclusive epidermal differentiation is possible.

Pathology of Epidermoid Cysts of the Testis

Epidermoid cysts of the testis are sharply circumscribed gray-white to yellowish encapsulated benign tumors of the testis. The tumor capsule consists of connective tissue with a keratinizing squamous epithelium. The rest of the tumor is an amorphous mass.

Diagnosis

Ultrasound of the testis reveals a sharply defined echogenic tumor.

Treatment

Inguinal incision and exposure of the testis: depending on size and preoperative suspicion for a benign tumor, either organ-preserving resection with frozen sections (Heidenreich et al, 1995) or inguinal orchiectomy is done.







Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z



References

Heidenreich, A.; Engelmann, U. H.; Vietsch, H. V. & Derschum, W.
Organ preserving surgery in testicular epidermoid cysts.
J Urol, 1995, 153, 1147-1150


  Deutsche Version: Epidermoidzyste des Hodens