Epidermoid Cyst of the Testis Misdiagnosed as a Hydrocele: A Case Report

Abstract

We present a case of a 63 years old patient who presented with a slow-growing, painless testicular swelling clinically diagnosed as a hydrocele. The patient underwent elective hydrocele repair, where it became apparent that the diagnosis of a hydrocele was incorrect. On incision of the presumed hydrocele sac, a caseous material was encountered and no obvious healthy testicle was apparent. An orchidectomy was performed and pathological assessment revealed the lesion to be an epidermoid cyst; a rare benign lesion of the testicle that clinicians should consider when assessing scrotal swellings.




J Med Cases. 2010;1(1):6-7
doi: https://doi.org/10.4021/jmc2010.07.109e