Retroperitoneal sarcoma-like malakoplakia

Dias, Paulo Henrique Goulart Fernandes; Slongo, Luiz Edison; Romero, Frederico R.; Paques, Guilherme R.; Gomes, Regina Paula X.; Rocha, Luiz Carlos de Almeida

doi:10.1590/s0104-42302011000600005

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…In this case, malakoplakia resulted from bacterial infection in the pelvis that was first diagnosed as TOA and immunosuppression due to oral steroids and diabetes mellitus. Malakoplakia can affect various organs including the skin, lungs, and bones [ 4 , 5 ]. A literature review showed several reports of malakoplakia occurring in female pelvic organs involving the ovary and fallopian tube [ 6 , 7 ]; however, this is a very rare case of pelvic malakoplakia in the uterus without adnexa due to previous surgery and involving the full depth of the uterus, thus mimicking endometrial cancer as detected in imaging studies.…”

Section: Discussionmentioning

confidence: 99%

Pelvic malakoplakia presenting as endometrial cancer: a case report

et al. 2020

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Malakoplakia is a rare granulomatous, inflammatory disease generally manifesting as ulcers of the urogenital tract, especially in the bladder, but it can occur in any part of the body. Because of its varied clinical presentations, malakoplakia is considered for differential diagnosis upon suspicion. The final diagnosis is confirmed by the presence of Michaelis-Gutmann bodies. We report a case of pelvic malakoplakia accompanied by left lower quadrant pain that was misdiagnosed as endometrial cancer with pelvic mass based on imaging studies. The patient underwent dilatation and curettage, and the pathology report revealed no malignancy. Because of persistent pain and septic shock, she underwent a debulking operation to remove the mass. Histopathologic examination revealed malakoplakia. For postoperative management, she received broad-spectrum antibiotics, but abdominal pelvic computerized tomography performed on postoperative day 9 revealed pelvic mass recurrence. To the best of our knowledge, this is the only rare case report of pelvic malakoplakia mimicking endometrial cancer.

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Section: Discussionmentioning

confidence: 99%

Pelvic malakoplakia presenting as endometrial cancer: a case report

et al. 2020

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Outgrowing skin involvement in malakoplakia after kidney transplantation: A case report

Lee

Park

et al. 2022

Transplantation Proceedings

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Cecal malakoplakia: A case report

Jeong

Noh

Kang

et al. 2021

Korean J Clin Oncol

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Malakoplakia is a rare chronic granulomatous disease found in the genitourinary tract, mainly. It is considered to be related to immunosuppression and/or infectious processes. We would like to present an operative case of cecal malakoplakia in a patient with a history of surgical resection and chemotherapy for cervical cancer. A 74-year-old female patient visited our hospital for 1-year follow-up after operation and chemo-radiotherapy for cervical cancer. An infiltrative mass of 6 cm, between the cecal base and the right psoas muscle, was observed on computed tomography. An ileocectomy was performed for diagnosis. Histopathologic examination revealed cecal malakoplakia. After surgery, based on previous reports, antibiotics therapy was added. Then the patient was discharged and treated in the outpatient clinic. To our knowledge, a rare case has been described of cecal malakoplakia during observation after surgery and chemo-radiotherapy for cervical cancer. Malakoplakia is known to be related to immunosuppressive condition. Therefore, our case suggests that close observation should be made in patients on immunosuppressive condition, such as chemotherapy.

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Retroperitoneal sarcoma-like malakoplakia

Cited by 3 publications

References 8 publications

Pelvic malakoplakia presenting as endometrial cancer: a case report

Pelvic malakoplakia presenting as endometrial cancer: a case report

Outgrowing skin involvement in malakoplakia after kidney transplantation: A case report

Cecal malakoplakia: A case report

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