Korean J Urol.  2010 Jul;51(7):505-507.

Multiple Epidermoid Cysts Arising from the Extratesticular Scrotal, Spermatic Cord and Perineal Area

  • 1Department of Urology, Kyung Hee University Medical Center, Seoul, Korea. sjlee@khu.ac.kr


An extratesticular scrotal epidermoid cyst is a relatively very rare condition, and an epidermoid cyst arising from the spermatic cord area is extremely rare. We report a case of multiple epidermoid cysts arising from the extratesticular scrotum, spermatic cord, and lower extremities. To our best knowledge, concomitant occurrence of these lesions has not been reported previously in the literature.


Epidermal cyst; Scrotum; Spermatic cord

MeSH Terms

Epidermal Cyst*
Lower Extremity
Spermatic Cord*


  • FIG. 1 (A) Well demarcated, homogenous, hypoechoic mass closely adjacent to the spermatic cord. (B) Gadolinium-enhanced T1-weighted magnetic resonance image showing subcutaneous masses in the scrotum and inner thigh with only peripheral wall enhancement.

  • FIG. 2 Photograph of the sectioned specimen shows compactly packed keratin debris within the cystic wall.

  • FIG. 3 Cystic wall is lined by mature stratified squamous epithelium with outer laminated keratin layer and inner free floating keratin debris (H&E, ×40).


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