Penile Epidermoid Cyst Consisted of Multiple Foci: A Case Report

Akiou Okumura, Kiyoshi Takagawa, Hideki Fuse

Department of Clinical Laboratory, Kurobe City Hospital, Toyama, Japan.
Department of Urology, Graduate School of Medicine and Pharmaceutical Sciences for Research, University of Toyama, Toyama, Japan.
Department of Urology, Kurobe City Hospital, Toyama, Japan.

DOI: 10.4236/jcdsa.2012.23039                

Abstract

Penile epidermoid cysts are uncommon, and a small number of cases have been reported worldwide. We present the first documented patient with a penile epidermoid cyst which consisted of multiple focuses. A 37-year-old man presented to our department with a chief complaint of an asymptomatic, soft mass in the ventral part of the penis. The mass was nontender, freely movable and measuring 3 cm within the dermis. MRI (magnetic resonance imaging) revealed a high signal intensity on both T1- and T2-weighted images. Excision of the cyst was performed under local anesthesia. Macroscopically, the cut surface of the mass appeared to be full of a cheese-like material and the cyst consisted of multiple focuses. The cyst did not contain skin appendages. The pathological diagnosis was an epidermoid cyst of the penis. No recurrence has been noted in the year since the operation.

Keywords

Penis; Epidermoid Cyst; Multiple Focuses

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	R. E. Link, “Cutaneous Diseases of the External Genitalia,” In: A. J. Wein, L. R. Kavoussi, A. C. Novick, A. W. Partin and C. A. Peters, Eds., Campbell’s Urology, 10th Edition, W. B. Saunders Co., Philadelphia, 2012, pp. 436-467.
[2]	J. H. Ross, R. Kay and J. Elder, “Testis Sparing Surgery for Pediatric Epidermoid Cysts of the Testis,” The Journal of Urology, Vol. 149, No. 2, 1993, pp. 353-356.
[3]	S. S. Shah, E. G. Varea, A. Farsaii, R. Femandez, C. Richardson and H. Shutte, “Giant Epidermoid Cyst of Penis,” Urology, Vol. 14, No. 4, 1979, pp. 389-391. doi:10.1016/0090-4295(79)90089-X
[4]	M. Suwa, M. Takeda, V. Bilim and K. Takahashi, “Epidermoid Cyst of the Penis: A Case Report and Review of the Literature,” International Journal of Urology, Vol. 7, No. 11, 2000, pp. 431-433. doi:10.1046/j.1442-2042.2000.00219.x
[5]	J. Rattan, S. Rattan and D. K. Gupta, “Epidermoid Cyst of the Penis with Extention into the Pelvis,” The Journal of Urology, Vol. 158, No. 2, 1997, p. 593. doi:10.1016/S0022-5347(01)64562-2
[6]	C. Laurenti and C. De Dominicis, “A Cyst in the Penis of a Child,” British Journal of Urology, Vol. 50, No. 3, 1978, p. 213. doi:10.1111/j.1464-410X.1978.tb02808.x
[7]	S. Khanna, “Epidermoid Cyst of the Glans Penis,” European Urology, Vol. 19, No. 2, 1991, pp. 176-177.
[8]	B. Salder, S. P. Greenfield, J. Wan and P. L. Glick, “Intrascrotal Epidermoid Cyst of with Extention into the Pelvis,” The Journal of Urology, Vol. 153, No. 4, 1995, pp. 1265-1266. doi:10.1016/S0022-5347(01)67583-9