Abstract
Epidermal cysts are the most common epithelial cysts usually with non malignant potential. These occur commonly in hair- bearing areas mostly on the scalp, also on the face, neck, back, and scrotum. Etiology is usually unknown. It can be seen commonly in individuals with history of significant Acne vulgaris. Multiple sebaceous cysts over the scrotum is a rare condition. Only eight cases of multiple epidermal cysts in scrotum have been reported so far from India in the past literature. This condition is usually asymptomatic and painless. It may turn painful if gets infected and often may be associated with discharge of pus. We present a rare case of multiple epidermal cysts of scrotum in a 36 year old patient which was managed with complete excision of the cysts done under local anesthesia followed by primary closure with better outcome in cosmesis taking care of not to jeopardize the vascular supply to local flaps and testis.
Highlights
Epidermal cysts are the most common epithelial cysts usually with non malignant potential
We present a rare case of multiple epidermal cysts of scrotum in a 36 year old patient which was managed with complete excision of the cysts done under local anesthesia followed by primary closure with better outcome in cosmesis taking care of not to jeopardize the vascular supply to local flaps and testis
Multiple sebaceous cyst may be associated with Gardner syndrome though rare but it should be ruled out [3]
Summary
Epidermal cysts are the most common epithelial cysts usually with non malignant potential. Cannistra C, et al [3] used the technique of pedicle inguinal flap for the reconstruction of the scrotum In this case we did the complete excision of the affected scrotal skin taking care not injure the underlying testis and the primary closure after securing the testes in subdartos pouch were done in conformity with better aesthetic outcome. This is the only case reported so far in the literature which was performed under spermatic cord block thereby avoiding the need of spinal or general anaesthesia
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