EURORAD ESR

Case 12377

Bilateral testicular epidermoid cysts

Author(s)
Myroslav Gerasymchuk, Danny Ma, Rojanandham Samudrala, Ghassan Tranesh, Warda Ibrar

St. John Hospital & Medical Center,
22101 Moross, Detroit, MI 48236
 
Patient
male, 16 year(s)
 
 
  • Figure 1
    Ultrasound of scrotum
     

    Transverse view of right testicle. Note the onion-skin appearance of the mass.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Transverse view of right testicle with Doppler. Note lack of blood flow in the mass.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Long view of the right testicle with the mass.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Long view of right testicle with Doppler flow.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Long view of left testicle with the mass.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Long view of left testicle with Doppler.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Transverse view of both left & right testicles with the lesions.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 2
    Histology
     

    Rt. testicle - low power. Shows portion of relatively normal testicular tissue with adjacent epidermoid cystic wall and keratic contents.

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Removal; Special Focus: Cysts;

    Rt. testicle - high power. This figure shows the epidermoid cystic wall that is lined by stratified squamous epithelium possessing an inner granular layer. The orthokeratin fills the cystic cavity with loose and...

     
    Area of Interest: Genital / Reproductive system male; Imaging Technique: Ultrasound; Procedure: Removal; Special Focus: Cysts;

    Lt. testicle - low power. Figure shows orthokeratin filling the cystic cavity.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Removal; Special Focus: Cysts;
     
     
Transverse view of right testicle. Note the onion-skin appearance of the mass.
 
Transverse view of right testicle with Doppler. Note lack of blood flow in the mass.
 
Long view of the right testicle with the mass.
 
Long view of right testicle with Doppler flow.
 
Long view of left testicle with the mass.
 
Long view of left testicle with Doppler.
 
Transverse view of both left & right testicles with the lesions.
 
Rt. testicle - low power. Shows portion of relatively normal testicular tissue with adjacent epidermoid cystic wall and keratic contents.
 
Rt. testicle - high power. This figure shows the epidermoid cystic wall that is lined by stratified squamous epithelium possessing an inner granular layer. The orthokeratin fills the cystic cavity with loose and laminated appearance.
 
Lt. testicle - low power. Figure shows orthokeratin filling the cystic cavity.
 
 
 
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