ÖZKAN ONUK, Fatih YANARAL, Tuğrul GEZMİŞ, Kadir DEMİR, Memduh AYDIN, Barış NUHOĞLU

Nadir bir testis tümörü: epidermoid kist

Epidermoid kistler testisin en sık görülen benign tümörlerdir ve tüm testis tümörlerinin %1-2 kadarını oluştururlar. Çoğunlukla yaşamın ikinci ve dördüncü dekatları arasında ve hastanın kendisini muayenesi ya da hekim tarafından yapılan fizik muayene sırasında saptanırlar. Histolojik olarak epidermoid kistin dermoid kist ve teratomdan ayrımı önemlidir. Tedavide radikal orşiektomi ön planda olsa da özellikle çocuk hastalarda frozen inceleme ile beraber testis koruyucu cerrahi tedavi seçenekleri arasında düşünülmelidir. Bu yazıda on yedi yaşında testiküler epidermoid kist tanısı alan bir hasta sunulmuş, tedavi seçenekleri tartışılmıştır

Anahtar Kelimeler:

Epidermal kist, orşiektomi, testis, testis tümörleri

A rare testicular tumor: epidermoid cyst

Epidermoid cysts are the most common benign tumors of the testis, but constitute of only 1-2% of all testicular tumors. It is mostly seen between the second and fourth decades of life. They are usually diagnosed during patient selfexamination or physical examination performed by a physician. Histologically, distinction of epidermoid cyst and the dermoid cysts and teratomas is important. Main treatment is radical orchiectomy. But especially in pediatric patients testis-sparing surgery with frozen section analysis should be considered among the options. In this case report we present a seventeen years old patient who diagnosed of testicular epidermoid cyst and the treatment options are discussed

Keywords:

Epidermal cyst, orchiectomy, testis, testicular neoplasms,

PDF

___

Shah KH, Maxted WC, Chun B. Epidermoid cysts of the tes- tis: a report of three cases and an analysis of 141 cases from the world literature. Cancer 1981; 47: 577-582.
Heidenreich A, Engelman UH, Vietsch HV, Derschum W. Organ preserving surgey in testicular epidernoid cycts. J Urol 1995; 153: 1147-1150.
Su CM, Lee YL, Huang SP, Chou YH, Huang CH. Testicular sparing surgery for bilateral epidermoid cysts of the testes: a case report. Kaohsiung J Med Sci 2004; 20: 83-85.
Loberant N, Bhatt S, Messing E, Dogra VS. Bilateral Testicu- lar Epidermoid Cysts. J Clin Imaging Sci 2011; 1: 4.
Akpolat N, Orhan İ, Solmaz ÖA. Testiküler epidermoid kist: olgu sunumu. Türk Üroloji Dergisi 2004; 30: 239-242.
Taupin T, Rouvière O, Cuzin B, Mege-Lechevallier F, Bou- tier R. Epidermoid cyst. Answer to the e-quid “A testicular mass”. Diagn Interv Imaging 2013; 94: 667-671.
Langer JE, Ramchandani P, Siegelman ES, Banner MP. Epi- dermoid cysts of the testicle: sonographic and MR imaging features. AJR Am J Roentgenol 1999; 173: 1295-1299.
Moghe PK, Brady AP. Ultrasound of testicular epidermoid cysts. Br J Radiol 1999; 72: 942-945.
Ye H, Ulbright TM. Difficult differential diagnoses in testi- cular pathology. Arch Pathol Lab Med 2012; 136: 435-446.
Behzatoğlu K, Bahadır B, Toktaş G, et al. Testiste epidermo- id kist (olgu sunumu). Türk Patoloji Dergisi 2001; 17: 87-89.
Wang X, Xu S, Tang D, et al. Prepubertal testicular and para- testicular tumors in China: a single-center experience over a 10-year period. J Pediatr Surg 2012; 47: 1576-1580.
Loya AG, Said JW, Grant EG. Epidermoid cyst of the testis: radiologic-pathologic correlation. Radiographics 2004; 24: 243-246.