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. 2024 Jul 23:12:1455866.
doi: 10.3389/fped.2024.1455866. eCollection 2024.

Epididymal cysts in children: frequency, clinical characteristics, and management strategies

Wei Cai  1 , Chenchen Liu  2 , Lei Xu  1 , Qingtao Wu  1 , Tongshuai Kuang  1 , Xiaokun Lin  1   3
Affiliations

Epididymal cysts in children: frequency, clinical characteristics, and management strategies

Wei Cai et al. Front Pediatr. .

Abstract

Background: Epididymal cysts (ECs) are uncommon in the pediatric population. The objective of this study was to evaluate the frequency, clinical characteristics, and management strategies of ECs in children.

Methods: We performed a retrospective review of pediatric scrotal ultrasounds between January 2014 and August 2022 to identify children with ECs.

Results: One hundred and forty-three children boys were found to have ECs, with 95 being pre-pubertal and 48 post-pubertal. The age of the patients ranged from 1 day to 18 years, with a mean age of 10.64 ± 4.55 years. The size of the cysts varied from 2 mm to 35 mm. The most common comorbidities observed were hydrocele, testicular microlithiasis and varicocele. The majority of ECs were detected through routine physical examination. Conservative management was employed for all patients, except for one who required surgical excision. Resolution of ECs occurred in 12 patients, while a reduction in cyst size was observed in 6 cases. Conversely, 2 patients experienced an increase in cyst size, and 6 patients exhibited an increase in cyst number during the follow-up period.

Conclusion: Conservative management is the preferred approach for the majority of cases, with surgical intervention reserved for specific instances.

Keywords: children; conservative management; epididymal cyst; scrotal emergency; scrotal ultrasound.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The numbers of patients with each age in 9-year periods from 2014 to 2022.
Figure 2
Figure 2
Diagnostic and therapeutic flow chart for management of epididymal cyst in pediatric patients.
See this image and copyright information in PMC

References

    1. Mukendi AM. Bilateral epididymal cyst with spontaneous resolution. Clin Case Rep. (2020) 8(12):2689–91. 10.1002/ccr3.3199 - DOI - PMC - PubMed
    1. Ameli M, Boroumand-Noughabi S, Gholami-Mahtaj L. A 14-year-old boy with torsion of the epididymal cyst. Case Rep Urol. (2015) 2015:731987. 10.1155/2015/731987 - DOI - PMC - PubMed
    1. Bissada NK, Redman JF. Unusual masses in the spermatic cord: report of six cases and review of the literature. South Med J. (1976) 69:1410–2. 10.1097/00007611-197611000-00006 - DOI - PubMed
    1. Boscarelli A, Bellini T. Epididymal cyst in children. Eur J Pediatr. (2021) 180:2723–9. 10.1007/s00431-021-04080-5 - DOI - PubMed
    1. Arora B, Arora R, Arora A. A randomised study of management modalities in epididymal cyst. Int Surg J. (2019) 6(2):340. 10.18203/2349-2902.isj20190379 - DOI

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