Introduction:
Simple testicular cysts are rare condition, as Copper reported the first
human intraparenchymal testicular cyst in 1845, but it was later
determined to be a cystic teratoma Less than 50 occurrences of simple
testicular cyst were recorded from 1966 to 2004. Prepubertal testicular
tumors are uncommon, making between 1% 2% of all pediatric tumors
and occurring in between 0.5 and 2.0 children per 100,000. Teratoma is
the second most frequent testicular tumor in children, after yolk sac
tumor, despite seminoma being the most common testicular tumor in
adults. Individuals may exhibit either painless or painful scrotal
enlargement ,particularly if the cyst’s diameter is greater than 5 cm.
simple testicular cyst usually ranges from 0.2 to 2 cm .1Testicular
teratomas are often a firm mass in patients; however, occasionally they
may feel cystic upon palpation because some of the mass is made up of
cysts that are fluid or mucous-filled. At some point, it may
transilluminate and be mistaken for a hydrocele. Ultrasonic imaging can
rule out hydrocele and reveal a testicular tumor that is partly cystic and
has patches of hypo- or anechoic tissue. Thus, even though testicular
teratomas have no specific ultrasonographic pattern, the most typical
feature is a nonhomogeneous echoic mass that frequently has
calcifications. Unilocular, entirely cystic teratomas have not yet been
documented in any patients .2the encysted hydrocele, which is loculated
fluid between the inner surface of the visceral tunica vaginalis and the
tunica albuginea that is not surrounded by a real wall.3 Children’s
scrotums can include cystic testicular dysplasia .4 The selection of the
treatment plan should take into account the patient’s age, symptoms,
compliance with the surveillance, cyst size, and dynamic
ultrasonographic changes. where, in prepubertal age patients with a
testicular tumor with a benign ultrasonographic appearance and no serum
markers, testis-sparing surgery by scrotal access is advised .2