Epidermoid cyst of the scrotum: a clinical case.

INTRODUCTION Epidermoid cysts are the most common epithelial cysts. They are well encapsulated cysts and histologically characterized by a cystic lining of stratified squamous epithelial cells and no cutaneous adnexal structures in the stromal tissue.(1) They are within the skin slowly growing benign tumors of the retention cyst’s character filled with sebaceous and keratinous masses and containing elements of hair follicles. These are single or multifocal spherical nodules of size from a few millimeters to a few centimeters mostly occurring on the scalp, the face, the trunk and in the genitals’ area. Their content is dense and resembles the porridge and the cottage cheese. They are covered with the unchanged, slightly red skin. The epidermoid cyst’s multiplex of the scrotum forming multisegmental and multifocal tumors of long term course are often hereditary. The diagnosis is based on appearance of the change. The treatment consists in a surgical removal of the tumor along with the capsule. The prognosis is favorable. When only the content of the cyst is evacuated and the cyst’s capsule is not removed the recurrence can occur. As follicular disruption is important in the pathogenesis of many epidermoid cysts, multiple epidermoid cysts may occur in individuals with a history of significant acne vulgaris. Multi-