Concurrent malakoplakia of cervical lymph nodes and prostatic adenocarcinoma with bony metasta-sis: case report

Abstract

SUMMARYAn unusual case of malakoplakia of the cervical lymph nodes in a patient with bony metastasis from prostrate cancer is reported. An 80-year-old patient with metastatic prostatic cancer presented with bilateral cervical lymphadenopathy, and a hard cervical mass in the left supraclavicular region. Biopsy of the lymph gland revealed the presence of malakoplakia, with no evidence of metastatic prostatic carcinoma. Though co-existence of malakoplakia and adenocarcinoma within the prostrate gland has been reported before, this case is unique, as it highlights the rare occurrence of malakoplakia involving distant nodes in a patient with bony metastatic prostate cancer. This report reflects the fact that things are not always what they seem in medicine, and not infrequently we come across a different pathology which mimics another.

Malacoplakia of the skin: overview of a rare clinical entity

“…There does not seem to be any racial predilection [2,5]. The most common site of involvement is the anogenital area (41%), Dermatology Online Journal || Review trunk (20%), head and neck (20%), extremities (10%), and axillae (10%), [5,14]., However, there have been reports of lesions that were distributed in more than one cutaneous site [5,[15][16].…”