University College London Hospitals NHS Foundation, UK.
King's College Hospital NHS Foundation, UK.
Ann R Coll Surg Engl. 2023 Sep;105(7):678-680. doi: 10.1308/rcsann.2022.0102.
Dermoid cysts of the spermatic cord are rare, with only a few adult cases published in the literature. We report a patient with a 10cm inguinal mass referred to us for a suspected paratesticular sarcoma. Imaging suggested a cyst but, due to the recent increase in size, the cyst contents were evacuated and the cyst wall was biopsied. Histopathology revealed a dermoid cyst, which is a benign variant of cystic teratomas. Histopathological examination was required here due to the uncertainty. Careful interpretation was required, as cystic teratomas very occasionally undergo a malignant transformation.
精索鞘膜皮样囊肿较为罕见，文献中仅报道了少数成人病例。我们报告了 1 例 10cm 腹股沟肿块患者，因疑似睾丸旁肉瘤而就诊。影像学提示为囊肿，但由于近期肿块增大，囊内容物被抽出，囊壁被活检。组织病理学显示为皮样囊肿，这是囊性畸胎瘤的良性变异。由于存在不确定性，因此需要进行组织病理学检查。需要仔细解读，因为囊性畸胎瘤偶尔会发生恶性转化。
