A case of giant epidermoid cyst occupying the testis |
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Authors: | Numakura Kazuyuki Tsuchiya Norihiko Inoue Takamitsu Horikawa Yohei Togashi Hisafumi Matsuura Shinobu Ohyama Chikara Satoh Shigeru Sato Kazunari Habuchi Tomonori |
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Institution: | The Department of Urology, Akita University School of Medicine. |
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Abstract: | A case of a giant epidermoid cyst of the testis is presented. A 65-year-old man was incidentally pointed out to have left scrotal painless swelling. Physical examination revealed an over hen-egg sized enlargement of the left scrotal contents. Ultrasonography revealed a 7.5 X 5.5 X 4.0 cm solid tumor with heterogeneous echogenicity. No other abnormal findings were observed including tumor markers. Since preoperative examination did not rule out malignancy, we performed left high orchiectomy. Pathological diagnosis was a epidermoid cyst of the testis with a small portion of atrophic testis. Although the preoperative diagnosis of testicular epidermoid cyst is possible, it may be considerably difficult when a giant epidermoid cyst is occupying the testis. |
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