A great malignancy mimicker: Testicular epidermoid cysts with atypical sonographic and MRI appearance

Yu Hsiang Chang; Yueh Hsun Lu; Junne Yih Kuo; Hsiao Jen Chung; Chin Chen Pan; Shu Huei Shen

doi:10.1016/j.eucr.2020.101366

A great malignancy mimicker: Testicular epidermoid cysts with atypical sonographic and MRI appearance

Yu Hsiang Chang, Yueh Hsun Lu, Junne Yih Kuo, Hsiao Jen Chung, Chin Chen Pan, Shu Huei Shen

Research output: Contribution to journal › Article › peer-review

Abstract

Testicular epidermoid cyst (TEC) is an uncommon benign testicular lesion that can be successfully cured via lesion enucleation and at the same time preserving patient's fertility. Doppler ultrasound (US), contrast-enhanced MRI and tumor markers are helpful in the diagnosis of TEC if the lesion does not show typical characteristics such as onion skin and target appearance. Herein, we report a case of TEC without typical structural characteristics but heterogeneously mixed echogenic content in US examination, no internal vascularity in the color Doppler study and lack of contrast enhancement in MRI images. These additional findings are helpful for diagnosing TEC.

Original language	English
Article number	101366
Journal	Urology Case Reports
Volume	33
DOIs	https://doi.org/10.1016/j.eucr.2020.101366
Publication status	Published - Nov 2020

Keywords

MRI
Sonography
Testicular epidermoid cysts

ASJC Scopus subject areas

Urology

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10.1016/j.eucr.2020.101366

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title = "A great malignancy mimicker: Testicular epidermoid cysts with atypical sonographic and MRI appearance",

abstract = "Testicular epidermoid cyst (TEC) is an uncommon benign testicular lesion that can be successfully cured via lesion enucleation and at the same time preserving patient's fertility. Doppler ultrasound (US), contrast-enhanced MRI and tumor markers are helpful in the diagnosis of TEC if the lesion does not show typical characteristics such as onion skin and target appearance. Herein, we report a case of TEC without typical structural characteristics but heterogeneously mixed echogenic content in US examination, no internal vascularity in the color Doppler study and lack of contrast enhancement in MRI images. These additional findings are helpful for diagnosing TEC.",

keywords = "MRI, Sonography, Testicular epidermoid cysts",

author = "Chang, {Yu Hsiang} and Lu, {Yueh Hsun} and Kuo, {Junne Yih} and Chung, {Hsiao Jen} and Pan, {Chin Chen} and Shen, {Shu Huei}",

note = "Publisher Copyright: {\textcopyright} 2020 The Authors",

year = "2020",

month = nov,

doi = "10.1016/j.eucr.2020.101366",

language = "English",

volume = "33",

journal = "Urology Case Reports",

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T1 - A great malignancy mimicker

T2 - Testicular epidermoid cysts with atypical sonographic and MRI appearance

AU - Chang, Yu Hsiang

AU - Lu, Yueh Hsun

AU - Kuo, Junne Yih

AU - Chung, Hsiao Jen

AU - Pan, Chin Chen

AU - Shen, Shu Huei

PY - 2020/11

Y1 - 2020/11

N2 - Testicular epidermoid cyst (TEC) is an uncommon benign testicular lesion that can be successfully cured via lesion enucleation and at the same time preserving patient's fertility. Doppler ultrasound (US), contrast-enhanced MRI and tumor markers are helpful in the diagnosis of TEC if the lesion does not show typical characteristics such as onion skin and target appearance. Herein, we report a case of TEC without typical structural characteristics but heterogeneously mixed echogenic content in US examination, no internal vascularity in the color Doppler study and lack of contrast enhancement in MRI images. These additional findings are helpful for diagnosing TEC.

AB - Testicular epidermoid cyst (TEC) is an uncommon benign testicular lesion that can be successfully cured via lesion enucleation and at the same time preserving patient's fertility. Doppler ultrasound (US), contrast-enhanced MRI and tumor markers are helpful in the diagnosis of TEC if the lesion does not show typical characteristics such as onion skin and target appearance. Herein, we report a case of TEC without typical structural characteristics but heterogeneously mixed echogenic content in US examination, no internal vascularity in the color Doppler study and lack of contrast enhancement in MRI images. These additional findings are helpful for diagnosing TEC.

KW - MRI

KW - Sonography

KW - Testicular epidermoid cysts

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A great malignancy mimicker: Testicular epidermoid cysts with atypical sonographic and MRI appearance

Abstract

Keywords

ASJC Scopus subject areas

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