دورية أكاديمية
Clinical analysis of 23 cases of epidermoid cyst of testis in children.
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.) |
References: | Shah KH, Maxted WC, Chun B (1981) Epidermoid cysts of the testis: a report of three cases and an analysis of 141 cases from the world literature. Cancer 47(3):577–582. (PMID: 10.1002/1097-0142(19810201)47:3<577::AID-CNCR2820470325>3.0.CO;2-C7226006) Loya AG, Said JW, Grant EG (2004) Epidermoid cyst of the testis: radiologic-pathologic correlation. Radiographics 24(Suppl 1):S243–S246. (PMID: 10.1148/rg.24si03522315486244) Liu Y, Pan Y, Wang Z (2022) MRI diagnostic value of epidermoid cyst of testis. J Med Imaging 32(11):2025–2029. Arellano CM et al (2011) Testicular epidermoid cysts in children: sonographic characteristics with pathological correlation. Pediatr Radiol 41(6):683–689. (PMID: 10.1007/s00247-011-2044-021547444) Maulana R, Siregar S, Hernowo BS (2022) Testicular epidermoid cyst: a rare case report. Int J Surg Case Rep 94:107167. (PMID: 10.1016/j.ijscr.2022.107167356583199097686) Dogra VS et al (2001) Testicular epidermoid cysts: sonographic features with histopathologic correlation. J Clin Ultrasound 29(3):192–196. (PMID: 10.1002/1097-0096(200103/04)29:3<192::AID-JCU1018>3.0.CO;2-W11329161) Li Y et al (2022) Research progress of epidermoid cyst of testis. Cancer Prog 20(07):656–658. Win ML et al (2020) Bilateral testicular epidermoid cysts in a man with klinefelter syndrome: a case report. Cureus 12(12):e11834. (PMID: 332741737707902) Zhang J, Li Y (2022) Value of high frequency ultrasonography in diagnosing epidermoid cyst of testis. J Shandong Med College 44(04):309–310. Rong H, Gao N, Wang D (2022) The value of high frequency ultrasound combined with alpha-fetoprotein detection in the accurate and qualitative diagnosis of testicular tumors in children. Basic Clin Oncol 35(06):525–527. Price EJ (1969) Epidermoid cysts of the testis: a clinical and pathologic analysis of 69 cases from the testicular tumor registry. J Urol 102(6):708–713. (PMID: 10.1016/S0022-5347(17)62236-55372025) Changli Xu et al (2019) Epidermoid cyst of testis: report of 5 cases and literature review. Chin J Androl 33(05):60–62. |
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 |
تدمد: | 1437-9813 |
---|---|
DOI: | 10.1007/s00383-024-05750-9 |