case report of testicular sparing surgery in a patient with dermoid cyst of testis

ABSTRACT

Dermoid cyst of testis is very rare in post-pubertal age which testicular sparing surgery can be done. There are different methods of treatment [radical orchiectomy, partial orchiectomy] for these cases. In this study, we present a case of dermoid cyst of testis which responded to partial orchiectomy. An 18 year old man referred to hospital with a painless left testicular mass [1.5 to 2 cm nontender firm mass in center of left testis] since one year prior to admission. Sonography showed a 1.5 to 2 cm hypoechoie mass in left testis and blood tumor markers [alpha.F. protein and beta H.C.G] were normal. Patient was operated by a left inguinal incision and there was a thick wall encapsulated, whitish keratin filled cyst, which only cyst was enucleated and testis was saved. Pathology report was dermoid cyst and up to 2 years after surgery patient had no recurrence. In patients with tumor of testis and all work-ups are in favor of benign lesion, testicular sparing surgery can be done