Unusual MR imagings of an incidental testicular epidermoid cyst: A case report

Ching Yang Chen, Ching Jiunn Wu, Wei Chiung Lin, Wei Tung Cheng, Guang Huan Sun, Cheng Yu Chen

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1 Citation (Scopus)

Abstract

Testicular epidermoid cyst is usually incidentally found during a physical check-up. It is an uncommon intratesticular benign tumor. Because testicular epidermoid cyst is usually encapsulated by a fibrous wall and filled with keratinous debris, it usually appears solid-like on sonographic and magnetic resonance (MR) imagings. Typically, testicular epidermoid cyst has a target appearance on MR imagings. Here we present a case of testicular epidermoid cyst, which was incidentally detected by ultrasound during an episode of acute epididymitis. This mass showed an unusual purely cystic structure with thick wall, which had low signal intensity wall on MR imagings. Benign testicular epidermoid cyst was suspected from the preoperative sonographic and MR study. Enucleation of the testicular mass was done and the final pathologic result was testicular epidermoid cyst. In our case, preoperative imaging findings provided information to the surgeons to attempt testis-sparing surgery instead of orchiectomy.

Original languageEnglish
Pages (from-to)251-256
Number of pages6
JournalChinese Journal of Radiology
Volume30
Issue number4
Publication statusPublished - Aug 2005
Externally publishedYes

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Keywords

  • Epidermoid cyst
  • Magnetic resonance (MR)
  • Testis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Chen, C. Y., Wu, C. J., Lin, W. C., Cheng, W. T., Sun, G. H., & Chen, C. Y. (2005). Unusual MR imagings of an incidental testicular epidermoid cyst: A case report. Chinese Journal of Radiology, 30(4), 251-256.