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Extratesticular epidermoid cyst mimicking enlarged testis
Authors:H-W Kao  C-J Wu  M-F Cheng  W-C Chang  C-Y Chen  G-S Huang
Institution:(1) Department of Radiology, Tri-Service General Hospital and National Defense Medical Center, 325, Cheng-Kung Rd., Sec. 2, Taipei, 114, Taiwan, Republic of China;(2) Department of Pathology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan, Republic of China;
Abstract:Epidermoid cysts are benign simple epithelial tumors usually appearing as hypoechoic lesions with scattered echogenic reflectors on sonography. Herein, we present a 53-year-old man with an extratesticular epidermoid cyst in the right scrotum which shows confusing sonographic findings, normal-appearing echogenicity of the lesion and atrophied testis, which lead to a diagnostic dilemma. With a variety of sonographic presentations in extratesticular epidermoid cysts, magnetic resonance (MR) imaging could play a complementary role in difficult cases.
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