Indexed with PubMed and Science Citation Index (E) 
Users online: 4732 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
   Article in PDF (569 KB)
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

  In this article
   Article Figures

 Article Access Statistics
    PDF Downloaded96    
    Comments [Add]    

Recommend this journal


 Table of Contents    
Year : 2014  |  Volume : 80  |  Issue : 3  |  Page : 279

Epidermoid cyst of the glans penis

Departments of Urology and Pathology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India

Date of Web Publication12-May-2014

Correspondence Address:
Dilip Kumar Pal
Department of Urology, Institute of Post Graduate Medical Education and Research, 244, AJC Bose Road, Kolkata - 700 020, West Bengal
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0378-6323.132277

Rights and Permissions

How to cite this article:
Hazra SP, Mahapatra RS, Chakraborty D, Pal DK. Epidermoid cyst of the glans penis. Indian J Dermatol Venereol Leprol 2014;80:279

How to cite this URL:
Hazra SP, Mahapatra RS, Chakraborty D, Pal DK. Epidermoid cyst of the glans penis. Indian J Dermatol Venereol Leprol [serial online] 2014 [cited 2020 Jun 1];80:279. Available from: http://www.ijdvl.com/text.asp?2014/80/3/279/132277


Epidermoid cysts are the commonest type of cutaneous cysts. They can occur anywhere on the external surface of the body as a single or multiple firm nodule. On the scrotum, they are often multiple and can be calcified. They rarely occur in the glans penis. Here, we report such a case of epidermoid cyst of the glans penis.

A 45-year-old Hindu male patient presented to our outpatient department with a small, painless swelling in his glans penis for the last eight years. On examination, it was found that the swelling was 1.5 × 1 cm in size, smooth, rounded and non-tender. It was situated just outside the external urinary meatus and no obvious punctum was found [Figure 1]. The external urethral meatus was normal in shape and size. He had a previous episode of spontaneous rupture of the cyst with extrusion of cheesy material after which the swelling disappeared. Thereafter, it reappeared slowly at the same site and attained the present size over two years. He was normoglycaemic, with normal renal and hematological parameters.
Figure 1: Smooth, rounded cyst on the glans penis

Click here to view

Under general anesthesia, the cyst was excised completely and the patient was catheterized. Sectioning of the cyst after removal caused extrusion of white pultaceous material. Histopathological examination confirmed the diagnosis of an epidermoid cyst lined by stratified squamous epithelium containing laminated keratin debris [Figure 2] and [Figure 3]. The lesion did not recur during the follow-up period of one year.
Figure 2: Epidermoid cyst lined by squamous epithelium
(H and E, 10)

Click here to view
Figure 3: Keratinous cyst content and the cyst wall (H and E, ×40)

Click here to view

Epidermoid cyst is very uncommon in the glans penis. [1],[2] The first case was reported by Khanna in 1991. [1] Two further reports of epidermoid cyst of the glans penis in children by Papali et al. in 2008 were discovered after a MEDLINE search. [2] Though rare, Shah et al. (1972) reported a sebaceous cyst in the penile shaft. [3] Suwa et al. (2000) and Singh et al. (2011) reported epidermoid cysts in the median raphe of the penis. [4],[5] Cysts at this site have been ascribed to previous circumcision or trauma to the penis. [5] The criteria proposed for diagnosis of epidermoid cysts of the glans penis are the following: It should be surrounded by penile tissue, filled with keratin material only, with an inner lining of stratified squamous epithelium, without any dermal appendages. [1] The differential diagnosis includes dermoid cyst or teratoma which can be easily differentiated by histopathological examination. The indications for treatment of this cyst are secondary infection, pain on intercourse, obstruction of urinary flow or cosmetic concerns. [4] The best treatment option is complete excision, but the surgeon should carefully excise the entire cyst to avoid recurrence. Though malignant changes are reported in epidermoid cyst at other sites, there are no reports of malignant changes in penile or glandular epidermoid cyst till date. [4],[5]

  References Top

1.Khanna S. Epidermoid cyst of the glans penis. Eur Urol 1991:19:176-7.  Back to cited text no. 1
2.Papali AC, Alpert SA, Edmondson JD, Maizels M, Yerkes E, Hagerty J, et al. A review of pediatric glans malformations: A handy clinical reference. J Urol 2008;180(Suppl 4):1737-42.  Back to cited text no. 2
3.Shah SS, Varea EG, Farsaii A, Fernandez R, Richardson C, Schutte H. Giant epidermoid cyst of penis. Urology 1979;14:389-91.  Back to cited text no. 3
4.Suwa M, Takeda M, Bilim V, Takahashi K. Epidermoid cyst of the penis: A case report and review of the literature. Int J Urol 2000;7:431-3.  Back to cited text no. 4
5.Singh S, Kaur T. Epidermoid cyst of penis. Indian J Dermatol Venereol Leprol 2011:77:627.  Back to cited text no. 5
[PUBMED]  Medknow Journal  


  [Figure 1], [Figure 2], [Figure 3]


Print this article  Email this article


Online since 15th March '04
Published by Wolters Kluwer - Medknow