Malakoplakia, a malignant mimic

Malakoplakia is a chronic inflammatory condition that affects multiple systems, most commonly the urogenital tract. Its clinical presentation is often non-specific, but is typically characterized by recurrent urinary tract infections and haematuria. We report a rare case of intravesical malakoplakia...

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Bibliographic Details
Published inBladder (San Francisco, Calif.) Vol. 7; no. 3; p. 1
Main Authors Parkin, Cameron James, Acland, George, Sulaiman, Ban, Johnsun, Mark Louie, Latif, Edward
Format Journal Article
LanguageEnglish
Published Bladder 02.09.2020
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Summary:Malakoplakia is a chronic inflammatory condition that affects multiple systems, most commonly the urogenital tract. Its clinical presentation is often non-specific, but is typically characterized by recurrent urinary tract infections and haematuria. We report a rare case of intravesical malakoplakia mimicking an aggressive transitional cell carcinoma both in its clinical presentation and in its macroscopic appearance on cystoscopy in an 82-year patient, the oldest reported case in the literature. Malakoplakia has been described in the literature as a benign disease process presenting typically in younger patients. This case demonstrates its ability to cause obstructive uropathy and affect elderly patients. Thus, this case serves as a reminder to consider malakoplakia as a differential in the evaluation of suspected bladder malignancy in patients of all ages.
Bibliography:Competing interests: The authors are not current recipients of a research scholarship. The paper is not based on a previous communication to a society/meeting.
ISSN:2327-2120
2327-2120
DOI:10.14440/bladder.2020.818