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The clinical features and treatment options of intratesticular epidermoid cysts. | LitMetric

AI Article Synopsis

  • This study focused on intratesticular epidermoid cysts (IEC) by analyzing medical records of patients who underwent surgery for testicular masses from 1995 to 2017.
  • Out of 20 patients identified, 17 had confirmed IEC, with a mean age of 22.2 years and all presenting with painless testicular swellings; most patients had their IECs located in the middle pole of the testes.
  • Treatment options included radical orchiectomy for 4 patients and partial orchiectomy for 13, indicating that partial orchiectomy can be a safe procedure for managing IECs after further evaluation.

Article Abstract

In this study, we aimed to define the clinico-radiological data and treatment options for intratesticular epidermoid cysts (IEC). MATERIALS AND METHODS: We retrospectively reviewed the medical records of the patients that under went surgery for testicular mass between 1995 and 2017. Data of the patients whose histopathological evaluation revealed IEC were recorded.  RESULTS: A total of 20 patients with IEC were identified.While three of 20 patients were excluded due to incomplete data, the remaining 17 patients with pathologically proven IEC were reviewed and analyzed in the study. The mean patient age was 22.2 years (range, 17-29 years). All patients were presented with painless testicular swelling and/or mass. Serum tumor markers of all patients were within the ranges. Four patients treated with radical orchiectomy (23.5%), while 13 patients under went partial orchiectomy (76.5%). The mean size ofthe IEC was 17.7x15.1 mm (range, 26x10 mm). IEC swere mostly located in the middle pole of the testes (10of 17 patients, 58.8%). CONCLUSIONS: This study is designed in retrospective nature, but the patient population is one the largest reported in the literature. According to our study, we can easily state that partial orchiectomy can be performed safely after FSA in patients that have IECs.

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