[Testicular epidermoid cyst].

OBJECTIVE

Testicular epidermoid cysts are rare and can be clinically misleading with other testicular neoplasms. We describe a case of epidermal cyst of the testis, with the aim to contribute to the clinicopathological knowledge of this entity.

METHODS

A 24-year-old caucasian man presented with a self-detected right testicular mass. Ultrasound features were consistent with solid tumor. He underwent an inguinal radical orchyectomy.

RESULTS

An intraparenchymal cyst measuring 1,4 cm was observed, covered by epidermal epithelium with no other skin components. Adnexal testicular pulp was normal.

CONCLUSIONS

When a preoperative diagnosis is made, a conservative treatment is recommendable, including frozen sections analysis of the cyst and adjacent testicular parenchyma to rule out a coexistent intratubular germ cell neoplasia.