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Updated: May 1, 2026
05:24
Teratoma Generation in the Testis Capsule
Published on: November 7, 2011
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Paediatric benign cystic monodermal testicular teratoma
Ramnik V Patel1, David Marshall, Caroline Gannon
1Paediatric Urology, University College London Hospitals NHS Foundation Trust, London, UK.
BMJ Case Reports
|March 25, 2014
Summary
A painless testicular mass in a 5-year-old boy was diagnosed as a benign cystic monodermal teratoma. This highlights the importance of considering testicular teratoma in pediatric scrotal swelling.
Area of Science:
- Pediatric Oncology
- Urologic Oncology
- Developmental Biology
Background:
- Testicular masses in children are rare but require prompt diagnosis and management.
- Benign cystic teratomas, a type of germ cell tumor, can occur in the pediatric population.
- Early detection through self-examination and clinical evaluation is crucial for favorable outcomes.
Observation:
- A 5-year-old boy presented with a painless, progressively enlarging left upper testicular mass.
- Scrotal asymmetry was noted by the father, prompting a testicular examination.
- Diagnostic workup included clinical assessment, tumor markers, ultrasound with Doppler, and histopathology.
Findings:
- The diagnosis was confirmed as a benign cystic monodermal testicular teratoma.
- This type of teratoma is a rare, non-seminomatous germ cell tumor.
- Histopathological analysis was essential for definitive diagnosis.
Implications:
- Testicular teratoma must be included in the differential diagnosis for pediatric scrotal swelling.
- Inguinal radical orchiectomy remains the standard treatment for benign testicular teratoma in children.
- Testis-sparing surgery is a viable option for smaller, confirmed benign testicular tumors.
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