Volume 44, Issue 7 pp. 448-451
Case Report

Epidermoid cyst of the testis: An atypical sonographic appearance

Shu-Ting Chen MD

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

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Hong-Jen Chiou MD

Hong-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

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Chin-Chen Pan MD

Chin-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

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Shu-Huei Shen MD

Shu-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

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Yi-Hong Chou MD

Corresponding 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 author
Chui-Mei Tiu MD

Chui-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

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Hsin-Kai Wang MD

Hsin-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

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Yi-Chen Lai MD

Yi-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

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Yung-Hui Lin MD

Yung-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

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Jane Wang MD

Jane 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

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Cheng-Yen Chang MD

Cheng-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

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First published: 29 March 2016
Citations: 5

ABSTRACT

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;

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