Epidermoid cysts of testis: rationale for conservative management

The literature on epidermoid cyst of the testis is reviewed, and 2 additional cases are presented. Etiology and pathology of the disease are discussed. Our review revealed that 85 per cent of patients have undergone orchiectomy for this benign disease. Diagnostic characteristics of this lesion are emphasized so that in selected cases enucleation of the pidermoid cyst may be considered without violating the principles of cancer surgery.