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Klinefelter ȯÀÚÀÇ °íȯ¿¡¼­ ¹ß»ýÇÑ Ç¥ÇǾ糶Á¾ 1¿¹ º¸°í Epidermoid Cyst of Testis in Klinefelter's Syndrome-A case report-

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Abstract


The epidermoid cyst of the testis is a rare benign lesion with a characteristic gross
and microscopic appearances.
This 25 year old male who had been previously diagnosed as Klinefelter's syndrome
(47/XXY) had right orchiectomy due to hard testicular nodule for a presumed malignant
testicular tumor. Sectioning of the testis revealed a intraparenchy matous cystic lesion,
1.5 cm in diameter, filled with cheesy white material. Histologically, stratified squamous
epithelium lined the cyst. The remaining testis showed advanced tubular sclerosis and
Leydig cell hyperplasia.
It is necessary to submit multiple sections to rule out other histologic elements in the
cyst wall or the presence of a scar. Although epidermoid cyst occurring as a solitary
testicullar nodule could be regarded as a stage in the development of a teratoma, they
need to be distinguished from the complex differentiated teratomas because of a distinct
difference in prognosis.

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