Abstract
We hereby report a scrotal epidermoid cyst presenting as a scrotal mass which a rare entity in the absence of trauma. 36years old male presents with a complaint of left sided testicular swelling and discomfort. The workup included clinical examination, alpha-fetoprotein (αFP) and beta-human chorionic gonadotropin (β-hCG) analyses and scrotal ultrasound. Clinically confused as testicular malignancy. Complete surgical excision of the cyst was performed. Histopathology confirmed epidermoid cyst with no evidence of malignancy.
Highlights
Epidermoid cysts are common benign inclusion cysts occurring due to implantation of epidermal tissue into the dermis or subcutaneous tissues.[1]
Scrotal and extratesticular epidermoid cysts, as was the case in our patient, are very rare; the number of cases published in the English literature is less than 10. [2]
These extratesticular epidermoid cysts can be diagnosed earlier due to easy visibility, but some patients hesitate to visit doctor as in case in our patient
Summary
Epidermoid cysts are common benign inclusion cysts occurring due to implantation of epidermal tissue into the dermis or subcutaneous tissues.[1]. Scrotal localization can occur from developmental closure of the median raphe to include the epidermal tissue in which case they are located along the midline Another route of implantation is through trauma.[1] Epidermoid cyst is one of the benign lesions in the scrotum and can occur within the testis and in extra-testicular tissues. A 36-year-old male presented in outpatient department with testicular discomfort and left scrotal swelling. He reported that the swelling appeared around two years back and has gradually progressed. A well-defined cystic swelling of 10 x 4 cm size was palpable in the left scrotum (Figure 1).
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