ABSTRACT
OBJECTIVE: To describe a case of scrotal epidermal cyst with special reference to the differential diagnosis between cystic and tumoral lesions. METHODS/RESULTS: The clinical history of a patient with an epidermal cyst localized to the scrotum is presented and the literature is briefly reviewed. Scrotal epidermal cysts and pilonidal cysts are distinct. Their etiology (embryonic vs acquired) is discussed from an academic perspective. CONCLUSIONS: Pilonidal and epidermal cysts are benign lesions. Excisional biopsy using local anesthesia will generally suffice for the classification and treatment of these lesions.
Subject(s)
Epidermal Cyst/diagnosis , Genital Diseases, Male/diagnosis , Scrotum , Adult , Biopsy , Diagnosis, Differential , Epidermal Cyst/pathology , Genital Diseases, Male/pathology , Humans , Male , Scrotum/pathologyABSTRACT
Brief presentation of a series of considerations on the clinical history of a male with deferens unilateral agenesis associated to absence of epididymis, seminal vesicle and renal unit on the same side (all incidental findings in an asymptomatic male with no previous history who requested a vasectomy). For a better understanding of this entity, an outline of the wolffian ducts' organogenesis (urinary potentials/genital potentials) is made and reconsidered. The methodological mechanics followed in this case (performance of vasectomy on the one side, as well as comprehensive confirmation of absence of the other deferens, obtention and confirmation of azoospermia, and performance of a minimum set of tests to take down the particulars of the entity and to rule out associated conditions) are reviewed and discussed. Based on the "Brief case" approach, and on the documentation available in the clinical history, this paper will not go into details on the relationship of this entity with a mutation of the cystic fibrosis gen.
