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Epidermoid Cyst of the Testis: Radiologic-Pathologic Correlation, A case Report

睪丸表皮樣囊腫:病例報告及文獻回顧

摘要


睪丸表皮樣囊腫是良性而且少見的睪丸腫瘤,本文報告一位17歲男性右邊睪丸有一個腫塊大約有一年時間,理學檢查大約為2公分睪丸內不會觸痛的腫塊,超音波檢查發現在睪丸實質下方有一周界明顯高迴音的外壁以及低迴音的中心病兆,有如“標靶”或“牛眼”般特徵,而且病人血中α胎兒蛋白以及絨毛膜激素均正常,手術前診斷為右側睪丸表皮樣囊腫,所以做了睪丸保留囊腫摘除術,術後追蹤三年均無復發。本文報告此一少見的睪丸良性腫瘤,討論其超音波診斷及病理特徵的相關性,並複閱相關文獻。

並列摘要


Epidermoid cysts are rare benign tumors of the testes. We present a 17-year-old man who suffered from a right testicular mass for one year. Physical examination confirmed a 2 cm, hard, nontender testicular mass. Sonographic findings demonstrated a 2.0 x 1.7 cm round, well-defined intraparenchymal cystic lesion with hyperechoic wall, hypoechoic center and with ”target” or ”bull's eye” picture located in the lower pole. Serum α-fetoprotein (AFP), human chorionic gonadotropin (HCG) levels were normal. A right epidermoid cyst of the testis was our impression preoperatively, and the conservative management (enucleation with testicular preservation) was performed rather than orchidectomy. In addition, we review the literature and discuss the radiologic-pathologic correlation.

並列關鍵字

epidermoid cyst enucleation

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