Neumann D P, Abrams G S, Hight D W
Department of Radiology, University of Connecticut Health Center, Farmington 06030, USA.
J Pediatr Surg. 1997 Dec;32(12):1786-9. doi: 10.1016/s0022-3468(97)90536-4.
Epidermoid cysts of the testes are rare, benign lesions that account for approximately 1% of all testicular tumors. They present most often between the second and fourth decade of life, and have been reported in prepubertal children rarely. The authors report the clinical and sonographic findings in a 4 1/2-year-old child with a testicular epidermoid cyst, and they analyze the 22 prepubertal cases found in the world literature. As described below, the clinical and sonographic features of this tumor are not specific for an epidermoid cyst and do not preclude a teratomatous or malignant neoplasm. This case adds to the varied sonographic appearance of prepubertal testicular epidermoid cysts. The lack of either unique clinical or sonographic features would suggest that extreme caution be used if local excision is considered for a patient with presumed epidermoid cyst of the testicle.
睾丸表皮样囊肿是一种罕见的良性病变，约占所有睾丸肿瘤的1%。它们最常出现在生命的第二个和第四个十年之间，青春期前儿童中很少有报道。作者报告了一名4岁半患有睾丸表皮样囊肿儿童的临床和超声检查结果，并分析了世界文献中发现的22例青春期前病例。如下所述，该肿瘤的临床和超声特征并非表皮样囊肿所特有，也不能排除畸胎瘤或恶性肿瘤。该病例增加了青春期前睾丸表皮样囊肿多样的超声表现。缺乏独特的临床或超声特征表明，如果考虑对疑似睾丸表皮样囊肿的患者进行局部切除，应极其谨慎。
