CASE REPORT article
Front. Pediatr.
Sec. Pediatric Urology
This article is part of the Research TopicAdvancing Surgical Outcomes for Retroperitoneal TumorsView all 9 articles
Extratesticular Epidermoid Cyst in a Pediatric Patient: A case report
Provisionally accepted
Ahmad Fasfoos1,2*
Janaa manasrah2*
Alaa M. I. Alazzeh3
Dr.Izzeddin Bakri3Tabarak Almasri3
Ibrahim Alzatari3- 1Arab American University, Jenin, Palestine
- 2Hebron University, Hebron, Palestine
- 3Ahil Hospital, Hebron, Palestine
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Background: Epidermoid cysts, sometimes referred to as epidermal inclusion cysts are benign lesions most commonly found in the face and neck. Their presence in the scrotum, particularly in an extratesticular location, is extremely rare, especially in pediatric patients. This report presents an unusual case of a large extratesticular epidermoid cyst extending towards the perineal region and adjacent to the corpora cavernosa in a 6-year-old male. Case Presentation: A 6-year-old boy was evaluated for a painless left testicular mass for five weeks. Clinical examination and imaging (ultrasound and MRI) revealed a well-defined cystic lesion adjacent to the left corpus cavernosum, extending into the pelvis. Surgical excision was performed, and histopathological examination confirmed an epidermoid cyst. Postoperative recovery was uneventful, and follow-up showed no recurrence or complications. Conclusion: This case emphasizes the importance of considering epidermoid cysts in the differential diagnosis of pediatric scrotal masses. While rare in children, especially in an extratesticular location with pelvic extension, early imaging, surgical intervention, and histopathological analysis remain critical for accurate diagnosis and effective treatment. This is the first documented case of its kind in Palestine, contributing valuable insight to the limited literature on pediatric scrotal epidermoid cysts.
Keywords: Epidermoid cyst, Intrascrotal tumor, MRI, pediatric urology, Scrotal surgery
Received: 18 Nov 2025; Accepted: 12 Dec 2025.
Copyright: © 2025 Fasfoos, manasrah, Alazzeh, Bakri, Almasri and Alzatari. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Ahmad Fasfoos
Janaa manasrah
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