Öz
Epidermoid cysts account for% 1 to% 2 of all orchiectomy masses and tend to occur as palpable solitary masses like testis tumors. These are benign lesions without malignant potential and conservative management such as testis sparing surgery is generally preferred over orchiectomy if possible. No cases of local recurrence or metastases have been reported. Here in we report a 26 years old man which came to our clinic with a painless right testicular mass. Color doppler ultrasonography demonstrated a large right testis with 2 round parenchymal lesions. Serum testicular germ cell tumor markers were normal. Abdominal computed tomography demonstrated 2 lymph nodes at the peripancreatic and paraaortic regions. Right inguinal orchiectomy was done and the pathologic examination revealed as epidermoid cyst. Patient was discharged from the hospital without any complication and no additional therapy was recommended. At the first year of follow up, there was no problem with the patient and intraabdominal lymph nodes were revealed as the same
Anahtar Kelimeler
Kaynakça
- Langer JE, Ramchandani P, Siegelman ES: Epidermoid cysts of the testicle: sonographic and MR imaging features. Am J Roentgenol, 1999; 173: 1295-1299.
- Woo LL, Curtis MR, Cohen MB, Sandlow JI: Development of seminoma following conservative treatment of testicular epidermoid Cyst. J. Urol, 2001; 165: 1635- 1636.
- Eisenmenger M, Lang S, Donner G: Epidermoid cyst of the testis: organ- preserving surgery following diagnosis by ultrasonography. Br. J Urol, 1993; 72: 955 -957.
- Malek RS, Rosen JS, Farrow GM: Epidermoid cyst of the testis: a critical analysis. Br. J Urol, 1986; 58: 55 -59.
- Umar SA, MacLennan GT: Epidermoid Cyst of Testis. J Urol, 2008: 180: 335.
- Rubenstein RA, Dogra VS, Seftel AD, Resnick MI: Benign intrascrotal lesions. J. Urol, 2004; 171: 1765-1772.
- Dogra VS, Gottlieb RH, Rubens DJ, Liao L: Benign intratesticular cystic lesions: US features. Radiographics, 2001; 21: 273-281.
- Price EB: Epidermoid cysts of the testis: a clinical pathologic analysis of 69 cases from the testicular tumor registry. J Urol, 1969; 102: 708- 713.
- Passman C, Urban D, Klemm K, Lockhart M, Kenney P, Kolettis P: Testicular lesions other than germ cell tumours: Feasibility of testis sparing surgery. BJU Int, 2009; 103(4): 488-491.
Öz
Epidermoid kistler orşiektomi materyallerinin%1 ile% 2’sini oluşturmakta ve testis tümörleri gibi soliter kitleler olarak palpe edilmektedirler. Bunlar selim lezyonlar olup testis koruyucu yaklaşım gibi konservatif tedavilerin eğer mümkünse orşiektomiye tercih edilmesi gereken durumlardır. Bugüne kadar lokal nüks veya metastaz bildirilmemiştir. Burada kliniğimize ağrısız sağ testiküler kitle ile başvuran 26 yaşında bir erkek hastayı sunmaktayız. Renklidoppler ultrasonografide 2 yuvarlak parankimal lezyonun eşlik ettiği büyük bir testis saptanmıştır. Serum testiküler germ hücre tümör belirteçleri normal olarak değerlendirilmiştir. Batın tomografisinde peripankreatik ve paraaortik alanda 2 adet lenf nodu saptanmıştır. Hastaya sağ inguinal orşiektomi yapılmış ve patolojik değerlendirmesi epidermoid kist olarak gelmiştir. Sorunsuz biçimde taburcu edilen hastaya ek tedavi önerilmemiştir. Birinci yılın sonunda yapılan değerlendirmede hasta ile ilgili problem saptanmamış, batın içindeki lenf nodlarının da aynı kaldığı görülmüştür
Anahtar Kelimeler
Kaynakça
- Langer JE, Ramchandani P, Siegelman ES: Epidermoid cysts of the testicle: sonographic and MR imaging features. Am J Roentgenol, 1999; 173: 1295-1299.
- Woo LL, Curtis MR, Cohen MB, Sandlow JI: Development of seminoma following conservative treatment of testicular epidermoid Cyst. J. Urol, 2001; 165: 1635- 1636.
- Eisenmenger M, Lang S, Donner G: Epidermoid cyst of the testis: organ- preserving surgery following diagnosis by ultrasonography. Br. J Urol, 1993; 72: 955 -957.
- Malek RS, Rosen JS, Farrow GM: Epidermoid cyst of the testis: a critical analysis. Br. J Urol, 1986; 58: 55 -59.
- Umar SA, MacLennan GT: Epidermoid Cyst of Testis. J Urol, 2008: 180: 335.
- Rubenstein RA, Dogra VS, Seftel AD, Resnick MI: Benign intrascrotal lesions. J. Urol, 2004; 171: 1765-1772.
- Dogra VS, Gottlieb RH, Rubens DJ, Liao L: Benign intratesticular cystic lesions: US features. Radiographics, 2001; 21: 273-281.
- Price EB: Epidermoid cysts of the testis: a clinical pathologic analysis of 69 cases from the testicular tumor registry. J Urol, 1969; 102: 708- 713.
- Passman C, Urban D, Klemm K, Lockhart M, Kenney P, Kolettis P: Testicular lesions other than germ cell tumours: Feasibility of testis sparing surgery. BJU Int, 2009; 103(4): 488-491.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2014 |
| Yayımlandığı Sayı | Yıl 2014Sayı: 1 |