Epidermoid Cysts Of The Testis: A Report Of Three Cases

Öz

Testicular epidermoid cyst is a rare entity that accounts for approximately 1-2 % of all intratesticular tumors. Although the histogenesis of the lesion is not clear, its biological behaviour is benign. It is seen frequently in right testis and on the 2nd and 4th decades. It has to be distinguished from teratomas and dermoid cysts and due to the malignant potential of teratomas, this differential diagnosis has a significant value. Mass lesions of left testis were found in three cases; ultrasonography findings and tumor markers lead to preoperative diagnosis of testicular tumor and subsequently, orchiectomy was performed. At the histopathological investigation, the cysts lined by keratinized squamous epithelium overlying dense fibrous tissue were observed and diagnosis as epidermoid cyst. Epidermoid cyst of testis, being as a rare entity, is presented and discussed by means of literature.

Anahtar Kelimeler

• Epidermoid cyst,testis,testicular tumor

Testisin Epidermoid Kisti: Üç Olgu Sunumu

Öz

Testiküler epidermoid kist nadir görülür ve intratestiküler tümörler içinde yaklaşık olarak % 1-2 oranındadır. Histogenezi tartışmalı olmakla birlikte; benign biyolojik davranışa sahiptir. En çok 2.-4. dekadlarda ve sağ testiste izlenir. Ayırıcı tanıya teratom ve dermoid kist alınmalıdır. Özellikle teratomlardaki malignite potansiyeli nedeniyle bu ayrım oldukça önemlidir. Üç olgumuzda sol testiste lokalize kitlesel lezyon tespit edilmiş; ultrasonografi bulguları ve tümör belirleyicileri eşliğinde testis tümörü ön tanısı ile orşiektomi uygulanmıştı. Histolopatolojik incelemede fibröz duvara sahip keratinize skuamöz epitel ile döşeli kistler izlendi. Olgular bu bulgular eşliğinde epidermoid kist tanısı aldı. Nadir görülen testisin epidermoid kistleri literatür bilgileri ışığında sunuldu ve tartışıldı.

Anahtar Kelimeler

• Epidermoid kist,testis,testiküler tümör

Kaynakça

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