Conservative surgical management of bilateral epidermoid cysts of the testis: a case report and review of literature.

Epidermoid cysts of the testis are benign tumor-like intratesticular masses. They are rare, representing less than 1% of all testicular tumors, and approximately 300 cases have been reported in the literature. Treatment of epidermoid cysts is controversial with the traditional treatment being radical orchidectomy. Awareness of this entity and the criteria for differential diagnosis will enhance the possibility of testicular preservation, averting unnecessary orchidectomy, especially for bilateral lesions. We report a case of bilateral epidermoid cysts in a 19-year-old man in whom the testes were preserved with conservative surgical management.