Wang C N, Huang C N, Chen M T, Chou Y H, Huang C H, Chiang C P
Department of Urology, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi. 1995 Jan;11(1):39-42.
Epidermoid cyst of the testis is very rare and accounts for approximately 1% of all testicular tumors. In the clinical examination, the testis has a palpable mass. Pathological findings usually reveal a squamous cell lined cyst, containing keratin, and the absence of appendages and teratoma element. If scrotum ultrasonography reveals a target sign suggestive of epidermoid cyst, the testis should be explored through an inguinal incision. Clamp the spermatic cord gently, and perform tumor enucleation. The frozen section is available at the time to check for any malignant cells. If no malignant cells exist, it is important to perform testis-preserving surgery, especially for young adults and children. We report two cases of epidermoid cyst. Serum beta-HCG and alpha-fetoprotein were within normal limits. We review our experience with scrotum ultrasonography and testis-preserving surgery in 2 men with epidermoid cyst to indicate when the clinical and intraoperative characteristics justify testis-preserving management.
睾丸表皮样囊肿非常罕见，约占所有睾丸肿瘤的1%。在临床检查中，睾丸可触及肿块。病理检查结果通常显示为内衬鳞状细胞的囊肿，含有角蛋白，且无附属器和畸胎瘤成分。如果阴囊超声显示提示表皮样囊肿的靶征，则应通过腹股沟切口探查睾丸。轻轻夹住精索，进行肿瘤剜除术。此时可进行冰冻切片检查是否有恶性细胞。如果没有恶性细胞，进行保留睾丸的手术很重要，尤其是对于年轻人和儿童。我们报告两例表皮样囊肿病例。血清β-HCG和甲胎蛋白均在正常范围内。我们回顾了对2例表皮样囊肿患者进行阴囊超声检查和保留睾丸手术的经验，以表明何时临床和术中特征支持保留睾丸的治疗。
