Department of Radiology, Tri-Service General Hospital and National Defense Medical Center, 325, Cheng-Kung Rd., Sec. 2, Taipei 114, Taiwan, Republic of China.
Ir J Med Sci. 2011 Jun;180(2):593-5. doi: 10.1007/s11845-008-0264-6. Epub 2008 Nov 28.
Epidermoid cysts are benign simple epithelial tumors usually appearing as hypoechoic lesions with scattered echogenic reflectors on sonography. Herein, we present a 53-year-old man with an extratesticular epidermoid cyst in the right scrotum which shows confusing sonographic findings, normal-appearing echogenicity of the lesion and atrophied testis, which lead to a diagnostic dilemma. With a variety of sonographic presentations in extratesticular epidermoid cysts, magnetic resonance (MR) imaging could play a complementary role in difficult cases.
表皮样囊肿是良性的单纯上皮性肿瘤,通常在超声检查中表现为低回声病变,伴有散在的强回声反射。本文报道了 1 例 53 岁男性患者,右侧阴囊内存在附睾外表皮样囊肿,其超声表现较为混杂,病变呈正常回声且睾丸萎缩,这导致诊断较为困难。附睾外表皮样囊肿的超声表现多种多样,磁共振成像(MR)在疑难病例中可发挥补充作用。