DOI: 10.36347/sjmcr.2020.v08i02.029

Pages: 209-212

Testicular epidermoid cysts are rare, benign intratesticular neoplasms. Preoperative diagnosis can be evoked by ultrasound and MRI, which are important criteria for the selection of testicular-preserving operations. In this paper, we report a case of a 21-year-old man who complained of a painful left testicular mass, which was found firm, regular, with a regular surface in examination. All laboratory investigations, including tumor markers, were normal. On ultrasonography, this mass appeared as a well-defined hypoechoic heterogeneous and avascular intratesticular lesion. On MRI, it was described as low signal T1 and heterogeneous hyper signal T2 lesion, surrounded by a capsule in hypo signal T1 and T2, enhanced after injection of Gadolinium, without perilesional oedema. Cyst enucleation cure was performed without postoperative complications. Histological diagnosis was an epidermoid cyst of the testis. A review of the literature has allowed us to highlight the different sonographic and MR imaging findings of testicular epidermoid cysts.