Epidermoid cyst of the testis: An atypical sonographic appearance
Shu-Ting Chen MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorHong-Jen Chiou MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorChin-Chen Pan MD
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Department of Pathology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
Search for more papers by this authorShu-Huei Shen MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorCorresponding Author
Yi-Hong Chou MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Correspondence to: Y.-H. ChouSearch for more papers by this authorChui-Mei Tiu MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorHsin-Kai Wang MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorYi-Chen Lai MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorYung-Hui Lin MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorJane Wang MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
Department of Radiology, National Taiwan University College of Medicine, Taipei, Taiwan, Republic of China
Search for more papers by this authorCheng-Yen Chang MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorShu-Ting Chen MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorHong-Jen Chiou MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorChin-Chen Pan MD
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Department of Pathology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
Search for more papers by this authorShu-Huei Shen MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorCorresponding Author
Yi-Hong Chou MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Correspondence to: Y.-H. ChouSearch for more papers by this authorChui-Mei Tiu MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorHsin-Kai Wang MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorYi-Chen Lai MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorYung-Hui Lin MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorJane Wang MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
Department of Radiology, National Taiwan University College of Medicine, Taipei, Taiwan, Republic of China
Search for more papers by this authorCheng-Yen Chang MD
Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
Search for more papers by this authorABSTRACT
Epidermoid cysts are rare. They represent the most common benign tumor of the testis. The sonographic appearances of testicular epidermoid cysts usually include avascular, mostly lamellated, heterogeneous internal echotexture, with hypoechoic and hyperechoic concentric rings, accounting for the typical onion-ring appearance. On MRI, epidermoid cysts show a low-signal-intensity center, with internal concentric rings of alternating high- and low-signal intensity on T2-weighted images, which correlates with the onion-ring appearance. We report a patient with testicular epidermoid cyst with atypical ultrasound and MRI appearances that led to the erroneous initial diagnosis of “burned-out” tumor. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 44:448–451, 2016;
REFERENCES
- 1Cho JH, Chang JC, Park BH, et al. Sonographic and MR imaging findings of testicular epidermoid cysts. AJR Am J Roentgenol 2002; 178: 743.
- 2Loya AG, Said JW, Grant EG. Epidermoid cyst of the testis: radiologic-pathologic correlation. Radiographics 2004; 24: S243.
- 3Cittadini G, Gauglio C, Pretolesi F, et al. Bilateral epidermoid cysts of the testis: sonographic and MRI findings. J Clin Ultrasound 2004; 32: 370.
- 4Dogra VS, Gottlieb RH, Rubens DJ, et al. Testicular epidermoid cysts: sonographic features with histopathologic correlation. J Clin Ultrasound 2001; 29: 192.
10.1002/1097-0096(200103/04)29:3<192::AID-JCU1018>3.0.CO;2-W CAS PubMed Web of Science® Google Scholar
- 5Pattamapaspong N, Muttarak M, Kitirattrakarn P, et al. Clinics in diagnostic imaging (149). Bilateral testicular epidermoid cysts. Singapore Med J 2013; 54: 611.
- 6Dogra VS, Gottlieb RH, Rubens DJ, et al. Benign intratesticular cystic lesions: US features. Radiographics 2001; 21: S273.
- 7Hernandez RJ, Buadu A. Case report of a testicular epidermoid cyst and review of its typical sonographic features. J Radiol Case Rep 2010; 4: 18.
- 8Woodward PJ, Sohaey R, O'Donoghue MJ, et al. From the archives of the AFIP: tumors and tumorlike lesions of the testis: radiologic-pathologic correlation. Radiographics 2002; 22: 189.
- 9Tasu JP, Faye N, Eschwege P, et al. Imaging of burned-out testis tumor: five new cases and review of the literature. J Ultrasound Med 2003; 22: 515.