Submitted:
11 March 2026
Posted:
13 March 2026
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Abstract
Multilocular intratesticular cysts are uncommon benign lesions. We report a case associated with testicular microlithiasis in an 85-year-old man presenting with painless enlargement of the left scrotum. Ultrasonography revealed a multilocular cystic lesion with a 3.0-cm main cyst and several adjacent smaller cysts showing posterior acoustic enhancement without mural irregularity or solid components. Bilateral microlithiasis and small epididymal cysts were also detected, and serum tumor markers were normal. The lesions remained stable during 36 months of follow-up. Recognition of the characteristic ultrasonographic features of benign intratesticular cysts is important to avoid unnecessary surgical intervention.
Keywords:
epididymal cyst
; intratesticular cyst
; testicular benign tumor
; testicular microlithiasis
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