The Management of Multiple Extratesticular Scrotal Epidermoid Cysts - Case Report

多發性陰囊表皮樣囊腫－病例報告及文獻回顧

黃仁穩(Ren-Wen Huang) ； Charles Yuen Yung Loh ； 陳宏彰(Hung-Chang Chen)

《臺灣整形外科醫學會雜誌》 26卷2期 (2017/06) Pp. 206-212

摘要

Background: Epidermoid cysts are common benign skin lesions, but scrotal extratesticular epidermoid inclusion cysts (EIC) are rare. They are usually slow growing and non-tender. This is an extensive case of EIC which can present a challenge both in excision and reconstruction of this disease. Aim and objectives: We present a rare case of multiple scrotal extratesticular epidermoid cysts (a total of 22 EICs) as well as a review of the diagnosis, evaluation and management of this disease Materials and methods: A 53-year-old male presented with multiple scrotal mass for more than 30 years. He had no underlying disease and trauma history. Sonography revealed multiple hypoechoic lesions. Urinalysis, alpha-fetoprotein (αFP), beta-human chorionic gonadotropin (β -hCG) and complete blood count were all within normal limits. Under the impression of a benign scrotal mass, complete excision was performed and the wound was closed primarily. Histological reports revealed a diagnosis of epidermoid cysts. Results: The wound healed well without wound dehiscence and infection after the operation. Conclusion: Multiple scrotal extra-testicular EICs are not often. Sonography and MRI can aid pre-operative diagnoses. Complete excision of the lesion for histological analysis confirms diagnosis and scrotal reconstruction can yield satisfying results both for the patient and the surgeon.

關鍵字

multiple scrotal epidermoid cysts ； scrotal mass

並列摘要

背景：表皮樣囊腫為一常見的疾病。然而，多發性陰囊表皮樣囊腫則相對罕見。目的及目標：此病例報告發表一例罕見的多發性陰囊表皮樣囊腫，且其位於睪丸外。除了病例報告，亦整理相關鑑別診斷，診斷工具及治療方法。材料及方法：此病例為一53歲男性病患，自述陰囊腫瘤已有超過30年之久，近年來逐漸變大。超音波診斷為低回音性病灶，尿液檢查，αFP，及β-hCG皆為正常。所有病灶皆切除乾淨，傷口直接縫合。病理報告為多發性表皮樣囊腫。結果：病患術後傷口癒合狀況良好。結論：多發性陰囊表皮樣囊腫則相當罕見，超音波及核磁共振可為診斷工具，標準治療方法須完全切除送病理化驗。