Sahito Abdul M, Sehar Alina, Kumari Usha, Daggula Nikhil R, Kumari Sanjana, Khoshbakht Freshta
Dow University of Health Sciences.
United Medical and Dental College, Karachi, Pakistan.
Ann Med Surg (Lond). 2023 Apr 14;85(5):2166-2168. doi: 10.1097/MS9.0000000000000666. eCollection 2023 May.
Trichilemmal cyst (TC), commonly known as the pilar cyst of the scrotum wall, is an uncommon disease. It is a type of epidermoid cyst (EC) with a benign course, and malignant change is quite rare. This disease is unusual in the scrotum; therefore, multiple cysts in the scrotum are much more unusual. There have been reports of TCs in other parts of the body, but this is the first instance of scrotal TCs in Pakistan.
We discuss the case of a 60-year-old male patient who presented to the clinic with a right-sided scrotal swelling, which was identified as a right-sided inguinal hernia on examination, and multiple small swellings on the scrotal skin identified as TCs. The patient had scrotoplasty after hernia surgery to remove the cysts and reconstruct the excised scrotum. Following scrotoplasty, the patient's discomfort was resolved, and cosmetic satisfaction was achieved.
Excision is required if TCs become infected or for esthetic reasons. In the event of big cysts, full scrotal wall resection followed by scrotoplasty is necessary. The thigh fasciocutaneous flap is used to cover the denuded testes after scrotoplasty. The procedure's advantages include a good outcome, low morbidity, early discharge, and great esthetic outcomes.
We present a literature review about multiple TCs in the scrotum and their surgical management. This case will guide surgeons and future researchers in dealing with similar cases in the future.
毛囊囊肿（TC），通常称为阴囊壁毛发囊肿，是一种罕见疾病。它是表皮样囊肿（EC）的一种，病程良性，恶变极为罕见。这种疾病在阴囊中并不常见；因此，阴囊内出现多个囊肿则更为罕见。虽然有身体其他部位出现毛囊囊肿的报道，但这是巴基斯坦首例阴囊毛囊囊肿病例。
我们讨论了一名60岁男性患者的病例，该患者因右侧阴囊肿胀到诊所就诊，检查时被诊断为右侧腹股沟疝，阴囊皮肤上有多个小结节被确诊为毛囊囊肿。患者在疝气手术后接受了阴囊成形术以切除囊肿并重建切除的阴囊。阴囊成形术后，患者的不适症状得到缓解，外观满意度良好。
如果毛囊囊肿发生感染或出于美观原因，则需要进行切除。对于大囊肿，需要完整切除阴囊壁，然后进行阴囊成形术。阴囊成形术后，使用大腿筋膜皮瓣覆盖裸露的睾丸。该手术的优点包括效果良好、发病率低、出院早以及外观效果好。
我们对阴囊多发毛囊囊肿及其手术治疗进行了文献综述。该病例将为外科医生和未来的研究人员处理类似病例提供指导。
