دورية أكاديمية

Clinical analysis of 23 cases of epidermoid cyst of testis in children.

التفاصيل البيبلوغرافية
العنوان: Clinical analysis of 23 cases of epidermoid cyst of testis in children.
المؤلفون: Tao J; Department of Day Surgery, National Clinical Research Center for Child Health and Disorders, Ministry of Education, Key Laboratory of Child Development and Disorder, Children's Hospital of Chongqing Medical University, Chongqing, China.; China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China.; Chongqing Key Laboratory of Structural Birth Defect and Reconstruction, Chongqing, China., Chen F; Department of Day Surgery, National Clinical Research Center for Child Health and Disorders, Ministry of Education, Key Laboratory of Child Development and Disorder, Children's Hospital of Chongqing Medical University, Chongqing, China.; China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China.; Chongqing Key Laboratory of Structural Birth Defect and Reconstruction, Chongqing, China., Chen X; Department of Day Surgery, National Clinical Research Center for Child Health and Disorders, Ministry of Education, Key Laboratory of Child Development and Disorder, Children's Hospital of Chongqing Medical University, Chongqing, China.; China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China.; Chongqing Key Laboratory of Structural Birth Defect and Reconstruction, Chongqing, China., Liu J; Department of Day Surgery, National Clinical Research Center for Child Health and Disorders, Ministry of Education, Key Laboratory of Child Development and Disorder, Children's Hospital of Chongqing Medical University, Chongqing, China. knifeuro@163.com.; China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China. knifeuro@163.com.; Chongqing Key Laboratory of Structural Birth Defect and Reconstruction, Chongqing, China. knifeuro@163.com.
المصدر: Pediatric surgery international [Pediatr Surg Int] 2024 Jul 02; Vol. 40 (1), pp. 165. Date of Electronic Publication: 2024 Jul 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer International Country of Publication: Germany NLM ID: 8609169 Publication Model: Electronic Cited Medium: Internet ISSN: 1437-9813 (Electronic) Linking ISSN: 01790358 NLM ISO Abbreviation: Pediatr Surg Int Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Berlin : Springer International, c1986-
مواضيع طبية MeSH: Epidermal Cyst*/surgery , Epidermal Cyst*/diagnosis , Epidermal Cyst*/diagnostic imaging , Testicular Diseases*/surgery , Testicular Diseases*/diagnosis , Testicular Diseases*/diagnostic imaging, Humans ; Male ; Retrospective Studies ; Child ; Child, Preschool ; Adolescent ; Infant ; Testis/diagnostic imaging ; Testis/surgery ; Testis/pathology ; Ultrasonography/methods ; Teratoma/surgery ; Teratoma/diagnostic imaging ; Teratoma/diagnosis
مستخلص: Objective: This study aims to examine the clinical characteristics and surgical management of pediatric testicular epidermoid cysts, thereby contributing to the existing body of knowledge pertinent to the diagnosis and therapeutic intervention s for this condition.
Methods: A retrospective analysis was conducted on the clinical records of 23 pediatric patients diagnosed with testicular epidermoid cysts, who were admitted to our institution between April 2013 and February 2024. Concurrently, a comprehensive review and analysis of pertinent literature were undertaken to augment the findings.
Results: The mean age at which the onset of epidermoid cysts was observed was 6.0 years. All cases were singular and unilateral. B-ultrasound diagnosis categorized 6 cases as epidermoid cysts, 11 as teratomas, and 6 as indeterminate, yielding a diagnostic sensitivity of 26.1%. All patients underwent testicle-sparing mass resection, and nine patients underwent rapid intraoperative frozen section analysis, revealing eight cases of testicular epidermoid cysts and one teratoma, with a diagnostic sensitivity of 88.89%. Postoperative histopathological examination confirmed the diagnosis of testicular epidermoid cyst.
Conclusions: Pediatric testicular epidermoid cysts are an uncommon occurrence, primarily presenting as a painless scrotal mass, which can mimic the clinical features of malignant testicular tumors. Imaging modalities and histopathological assessment are pivotal in the diagnostic process for pediatric testicular epidermoid cysts. For cases where B-ultrasound is inconclusive, rapid intraoperative pathological examination should be considered.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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فهرسة مساهمة: Keywords: Diagnosis; Epidermoid cyst; Prognosis; Testicular cancer; Treatment
تواريخ الأحداث: Date Created: 20240702 Date Completed: 20240702 Latest Revision: 20240702
رمز التحديث: 20240703
DOI: 10.1007/s00383-024-05750-9
PMID: 38954009
قاعدة البيانات: MEDLINE
الوصف
تدمد:1437-9813
DOI:10.1007/s00383-024-05750-9