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Pelvic malakoplakia presenting as endometrial cancer: a case report
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....
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7393746/ https://www.ncbi.nlm.nih.gov/pubmed/32689780 http://dx.doi.org/10.5468/ogs.19245 |
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author | Cho, Jeong Soo Kim, Hye In Lee, Jung Yun Nam, Eun Ji Kim, Sunghoon Kim, Young Tae Kim, Sang Wun |
author_facet | Cho, Jeong Soo Kim, Hye In Lee, Jung Yun Nam, Eun Ji Kim, Sunghoon Kim, Young Tae Kim, Sang Wun |
author_sort | Cho, Jeong Soo |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7393746 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-73937462020-08-07 Pelvic malakoplakia presenting as endometrial cancer: a case report Cho, Jeong Soo Kim, Hye In Lee, Jung Yun Nam, Eun Ji Kim, Sunghoon Kim, Young Tae Kim, Sang Wun Obstet Gynecol Sci Case Report 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. Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 2020-07 2020-06-30 /pmc/articles/PMC7393746/ /pubmed/32689780 http://dx.doi.org/10.5468/ogs.19245 Text en Copyright © 2020 Korean Society of Obstetrics and Gynecology Articles published in Obstet Gynecol Sci are open-access, distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Cho, Jeong Soo Kim, Hye In Lee, Jung Yun Nam, Eun Ji Kim, Sunghoon Kim, Young Tae Kim, Sang Wun Pelvic malakoplakia presenting as endometrial cancer: a case report |
title | Pelvic malakoplakia presenting as endometrial cancer: a case report |
title_full | Pelvic malakoplakia presenting as endometrial cancer: a case report |
title_fullStr | Pelvic malakoplakia presenting as endometrial cancer: a case report |
title_full_unstemmed | Pelvic malakoplakia presenting as endometrial cancer: a case report |
title_short | Pelvic malakoplakia presenting as endometrial cancer: a case report |
title_sort | pelvic malakoplakia presenting as endometrial cancer: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7393746/ https://www.ncbi.nlm.nih.gov/pubmed/32689780 http://dx.doi.org/10.5468/ogs.19245 |
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