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- Title
Epidermoid cyst discovered concomitant with torsion of the spermatic cord: A case report.
- Authors
El Omri, Ghassane; Rais, Hamza; Lazrak, Omar; Rachid, Moussaab; Khmou, Mouna; El Khannoussi, Basma; Heddat, Abdeljalil
- Abstract
Testicular epidermoid cysts, accounting for 1%–2% of all testicular masses, present a diagnostic challenge often identified post-orchiectomy. Conservative surgery is recommended, emphasizing the need for accurate preoperative diagnosis. A 28-year-old patient with acute left scrotal pain, initially suggestive of testicular torsion, underwent intraoperative exploration revealing extra-vaginal torsion with an incidentally discovered 2-cm intra-testicular mass. Due to suspected malignancy, a total orchiectomy was performed. Pathological analysis confirmed an epidermoid cyst with normal postoperative tumor markers. The patient had a good postoperative outcome and underwent testicular prosthesis placement 3 months after the surgery. Epidermoid cysts, often identified incidentally during urgent scenarios, underscore the importance of accurate preoperative diagnosis. Conservative surgery remains the preferred approach, emphasizing the consideration of benign factors to prevent unnecessary orchiectomies.
- Subjects
EPIDERMAL cyst; SPERMATIC cord torsion; TESTIS surgery; TUMOR markers; CASTRATION
- Publication
SAGE Open Medical Case Reports, 2024, p1
- ISSN
2050-313X
- Publication type
Case Study
- DOI
10.1177/2050313X241245286