Epidermoid cyst of the testicle in children

Epidermoid cyst of the testicle is rare in children and only four previous cases have been reported. We add two cases and discuss their presentation and management. Both children presented with solid testicular masses, one of which was asymptomatic and the other was painful. Physical examination and ultrasound could not differentiate between a benign and malignant process. One child underwent radical orchiectomy and one child underwent local excision alone. Both are free of disease at follow-up.