Clinical analysis of 23 cases of epidermoid cyst of testis in children
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In brief
In brief
This retrospective study of 23 pediatric patients demonstrates that testicular epidermoid cysts present as painless scrotal masses mimicking malignancy, with ultrasound showing low diagnostic sensitivity (26.1%) compared to intraoperative frozen section (88.89%). All patients successfully underwent testicle-sparing resection, supporting organ preservation when frozen section confirms benign pathology.
- Testicular epidermoid cysts in children present as painless scrotal masses, often mimicking malignant tumors clinically.
- Preoperative B-ultrasound has low sensitivity (26.1%) for diagnosis; intraoperative frozen section improves accuracy to 88.89%.
- Testicle-sparing mass resection is feasible and appropriate for confirmed epidermoid cysts in pediatric patients.
- Epidermoid cysts are rare, unilateral, and typically occur around age 6; histopathology confirms diagnosis postoperatively.
- When imaging is inconclusive, rapid intraoperative pathological examination should guide surgical decision-making.
Written by the GCMD Library team from the article.
Abstract
Objective
This study aims to examine the clinical characteristics and surgical management of pediatric testicular epidermoid cysts, thereby contributing to the existing body of knowledge pertinent to the diagnosis and therapeutic intervention 你 s for this condition.
Methods
A retrospective analysis was conducted on the clinical records of 23 pediatric patients diagnosed with testicular epidermoid cysts, who were admitted to our institution between April 2013 and February 2024. Concurrently, a comprehensive review and analysis of pertinent literature were undertaken to augment the findings.
Results
The mean age at which the onset of epidermoid cysts was observed was 6.0 years. All cases were singular and unilateral. B-ultrasound diagnosis categorized 6 cases as epidermoid cysts, 11 as teratomas, and 6 as indeterminate, yielding a diagnostic sensitivity of 26.1%. All patients underwent testicle-sparing mass resection, and nine patients underwent rapid intraoperative frozen section analysis, revealing eight cases of testicular epidermoid cysts and one teratoma, with a diagnostic sensitivity of 88.89%. Postoperative histopathological examination confirmed the diagnosis of testicular epidermoid cyst.
Conclusions
Pediatric testicular epidermoid cysts are an uncommon occurrence, primarily presenting as a painless scrotal mass, which can mimic the clinical features of malignant testicular tumors. Imaging modalities and histopathological assessment are pivotal in the diagnostic process for pediatric testicular epidermoid cysts. For cases where B-ultrasound is inconclusive, rapid intraoperative pathological examination should be considered.