Korean J Urol.  2010 Jul;51(7):505-507.

Multiple Epidermoid Cysts Arising from the Extratesticular Scrotal, Spermatic Cord and Perineal Area

• Lee SJ
• Lee JH
• Jeon SH
• Kim MJ

Abstract

An extratesticular scrotal epidermoid cyst is a relatively very rare condition, and an epidermoid cyst arising from the spermatic cord area is extremely rare. We report a case of multiple epidermoid cysts arising from the extratesticular scrotum, spermatic cord, and lower extremities. To our best knowledge, concomitant occurrence of these lesions has not been reported previously in the literature.

Keyword

Epidermal cyst; Scrotum; Spermatic cord

MeSH Terms

Epidermal Cyst*
Lower Extremity
Scrotum
Spermatic Cord*

Figure

• 

  FIG. 1 (A) Well demarcated, homogenous, hypoechoic mass closely adjacent to the spermatic cord. (B) Gadolinium-enhanced T1-weighted magnetic resonance image showing subcutaneous masses in the scrotum and inner thigh with only peripheral wall enhancement.

• 

  FIG. 2 Photograph of the sectioned specimen shows compactly packed keratin debris within the cystic wall.

• 

  FIG. 3 Cystic wall is lined by mature stratified squamous epithelium with outer laminated keratin layer and inner free floating keratin debris (H&E, ×40).

Reference

1. Langer JE, Ramchandani P, Siegelman ES, Banner MP. Epidermoid cysts of the testicle: sonographic and MR imaging features. AJR Am J Roentgenol. 1999. 173:1295–1299.

2. Cho JH, Chang JC, Park BH, Lee JG, Son CH. Sonographic and MR imaging findings of testicular epidermoid cysts. AJR Am J Roentgenol. 2002. 178:743–748.

3. Tanaka T, Yasumoto R, Kawano M. Epidermoid cyst arising from the spermatic cord area. Int J Urol. 2000. 7:277–279.

4. Katergiannakis V, Lagoudianakis EE, Markogiannakis H, Manouras A. Huge epidermoid cyst of the spermatic cord in an adult patient. Int J Urol. 2006. 13:95–97.

5. Picanco-Neto JM, Lipay MA, D'Avila CL, Verona CB, Zerati-Filho M. Intrascrotal epidermoid cyst with extension to the rectum wall: a case report. J Pediatr Surg. 1997. 32:766–767.

6. Lee HS, Joo KB, Song HT, Kim YS, Park DW, Park CK, et al. Relationship between sonographic and pathologic findings in epidermal inclusion cysts. J Clin Ultrasound. 2001. 29:374–383.

7. Wegner HE, Herbst H, Dieckmann KP. Paratesticular epidermoid cyst and ipsilateral spermatic cord dermoid cyst: case report and discussion of pathogenesis, diagnosis and treatment. J Urol. 1994. 152:2101–2103.

8. Malvica RP. Epidermoid cyst of the testicle: an unusual sonographic finding. AJR Am J Roentgenol. 1993. 160:1047–1048.

9. Lioe TF, Biggart JD. Tumours of the spermatic cord and paratesticular tissue. A clinicopathological study. Br J Urol. 1993. 71:600–606.