Intrascrotal masses in the adult are worrisome due to their possible m
alignancy, Most intratesticular masses are malignant whereas most extr
atesticular masses are benign, The differential diagnosis of intrascro
tal cysts usually includes simple testicular cysts, intratesticular ep
idermoid and dermoid cysts, tunica albuginea cysts, epididymal cysts a
nd spermatoceles [1-7]. This case report describes a large epidermoid
cyst of the scrotum presenting as an enlarging scrotal tumour.