Quiste epidermoide testicular

introduction: testicular tumors are usually managed by radical orchiectomy because of the high incidence of malignant lesions. epidermoid cyst of the testis is a rare benign tumor, and its differential diagnosis from malignant testicular tumors is difficult. materials and methods: the clinical records of seven patients who attended our hospital with testicular epidermoid cysts were reviewed. preoperative evaluation consisted of testicular ultrasonography in 6 patients, and magnetic resonance imaging in 4 patients. a peroperative biopsy was performed in four patients. results: ultrasonographic appearance was specific for diagnosis of epidermoid cyst in 80% of patients. pathological diagnosis was made in all biopsies taken during surgery. conservative management was (tumorectomy or partial orquidectomy) performed in 6 patients (85%). conclusions: preoperative imaging findings, gross characteristics of the lesion, and peroperative biopsy results provide adequate information to attempt testis-sparing surgery instead of radical orchiectomy.