Testicular epidermoid cyst is a benign epithelial tumor rarely seen in children. Recurrence or distant metastasis after excision is not reported. Testis sparing surgery is important when there is bilateral involvement. A 13-year-old boy with bilateral testicular epidermoid cyst associated with microlithiasis treated with testis sparing surgery is reported with special emphasis on differential diagnosis and treatment.

Key words: Testis, surgery, epidermoid cyst, testicular microlithiasis