The clinical features and treatment options of intratesticular epidermoid cysts


Topuz B., Coǧuplugil A. E., Yilmaz S., SARIKAYA S., Zor M., Uǧuz S., ...Daha Fazla

Archivos Espanoles de Urologia, cilt.73, sa.2, ss.126-131, 2020 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 73 Sayı: 2
  • Basım Tarihi: 2020
  • Dergi Adı: Archivos Espanoles de Urologia
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, EMBASE, Gender Studies Database, MEDLINE, DIALNET
  • Sayfa Sayıları: ss.126-131
  • Anahtar Kelimeler: Frozen section assessment, Testicular epidermoid cyst, Partial orchiectomy, Testicular tumor, Testis sparing surgery
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

OBJECTIVES: 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 underwent 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 underwent partial orchiectomy (76.5%). The mean size of the IEC was 17.7x15.1 mm (range, 26x10 mm). IECs were mostly located in the middle pole of the testes (10 of 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.