DOI: 10.1308/rcsann.2022.0102 ISSN:
A large dermoid cyst of the spermatic cord
KH Pang, A Haider, D Heffernan Ho, NF Walker, M Walkden, A Freeman, A Muneer, HM Alnajjar- General Medicine
- Surgery
Dermoid cysts of the spermatic cord are rare, with only a few adult cases published in the literature. We report a patient with a 10cm inguinal mass referred to us for a suspected paratesticular sarcoma. Imaging suggested a cyst but, due to the recent increase in size, the cyst contents were evacuated and the cyst wall was biopsied. Histopathology revealed a dermoid cyst, which is a benign variant of cystic teratomas. Histopathological examination was required here due to the uncertainty. Careful interpretation was required, as cystic teratomas very occasionally undergo a malignant transformation.