Abstract：
OBJECTIVE: This study aims to examine the clinical characteristics and surgical management of pediatric testicular epidermoid cysts, thereby contributing to the existing body of knowledge pertinent to the diagnosis and therapeutic intervention s for this condition.
METHODS: A retrospective analysis was conducted on the clinical records of 23 pediatric patients diagnosed with testicular epidermoid cysts, who were admitted to our institution between April 2013 and February 2024. Concurrently, a comprehensive review and analysis of pertinent literature were undertaken to augment the findings.
RESULTS: The mean age at which the onset of epidermoid cysts was observed was 6.0 years. All cases were singular and unilateral. B-ultrasound diagnosis categorized 6 cases as epidermoid cysts, 11 as teratomas, and 6 as indeterminate, yielding a diagnostic sensitivity of 26.1%. All patients underwent testicle-sparing mass resection, and nine patients underwent rapid intraoperative frozen section analysis, revealing eight cases of testicular epidermoid cysts and one teratoma, with a diagnostic sensitivity of 88.89%. Postoperative histopathological examination confirmed the diagnosis of testicular epidermoid cyst.
CONCLUSIONS: Pediatric testicular epidermoid cysts are an uncommon occurrence, primarily presenting as a painless scrotal mass, which can mimic the clinical features of malignant testicular tumors. Imaging modalities and histopathological assessment are pivotal in the diagnostic process for pediatric testicular epidermoid cysts. For cases where B-ultrasound is inconclusive, rapid intraoperative pathological examination should be considered.
METHODS: A retrospective analysis was conducted on the clinical records of 23 pediatric patients diagnosed with testicular epidermoid cysts, who were admitted to our institution between April 2013 and February 2024. Concurrently, a comprehensive review and analysis of pertinent literature were undertaken to augment the findings.
RESULTS: The mean age at which the onset of epidermoid cysts was observed was 6.0 years. All cases were singular and unilateral. B-ultrasound diagnosis categorized 6 cases as epidermoid cysts, 11 as teratomas, and 6 as indeterminate, yielding a diagnostic sensitivity of 26.1%. All patients underwent testicle-sparing mass resection, and nine patients underwent rapid intraoperative frozen section analysis, revealing eight cases of testicular epidermoid cysts and one teratoma, with a diagnostic sensitivity of 88.89%. Postoperative histopathological examination confirmed the diagnosis of testicular epidermoid cyst.
CONCLUSIONS: Pediatric testicular epidermoid cysts are an uncommon occurrence, primarily presenting as a painless scrotal mass, which can mimic the clinical features of malignant testicular tumors. Imaging modalities and histopathological assessment are pivotal in the diagnostic process for pediatric testicular epidermoid cysts. For cases where B-ultrasound is inconclusive, rapid intraoperative pathological examination should be considered.
摘要：
目的：本研究旨在探讨小儿睾丸表皮样囊肿的临床特征和外科治疗，从而有助于与这种疾病的诊断和治疗干预有关的现有知识体系。
方法：对23例睾丸表皮样囊肿患儿的临床资料进行回顾性分析。他们在2013年4月至2024年2月期间被我们的机构录取。同时,我们对相关文献进行了全面回顾和分析，以扩大研究结果。
结果：观察到表皮样囊肿发病的平均年龄为6.0岁。所有病例都是单数和单方面的。B超诊断为表皮样囊肿6例,11作为畸胎瘤，6为不确定，诊断灵敏度为26.1%。所有患者都接受了保留睾丸的肿块切除术，9例患者接受了术中快速冰冻切片分析，发现8例睾丸表皮样囊肿和1例畸胎瘤，诊断灵敏度为88.89%。术后组织病理学检查确诊为睾丸表皮样囊肿。
结论：小儿睾丸表皮样囊肿并不常见，主要表现为无痛的阴囊肿块，可以模仿睾丸恶性肿瘤的临床特征。成像方式和组织病理学评估在小儿睾丸表皮样囊肿的诊断过程中至关重要。对于B超没有定论的病例,应考虑快速术中病理检查。
方法：对23例睾丸表皮样囊肿患儿的临床资料进行回顾性分析。他们在2013年4月至2024年2月期间被我们的机构录取。同时,我们对相关文献进行了全面回顾和分析，以扩大研究结果。
结果：观察到表皮样囊肿发病的平均年龄为6.0岁。所有病例都是单数和单方面的。B超诊断为表皮样囊肿6例,11作为畸胎瘤，6为不确定，诊断灵敏度为26.1%。所有患者都接受了保留睾丸的肿块切除术，9例患者接受了术中快速冰冻切片分析，发现8例睾丸表皮样囊肿和1例畸胎瘤，诊断灵敏度为88.89%。术后组织病理学检查确诊为睾丸表皮样囊肿。
结论：小儿睾丸表皮样囊肿并不常见，主要表现为无痛的阴囊肿块，可以模仿睾丸恶性肿瘤的临床特征。成像方式和组织病理学评估在小儿睾丸表皮样囊肿的诊断过程中至关重要。对于B超没有定论的病例,应考虑快速术中病理检查。
