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.
Highlights
Michaelis and Gutmann first described Malakoplakia in 19021
Though malakoplakia has been reported mainly to occur subsequent to infections, it could be associated with a variety of tumours[2]
Coexistence of malakoplakia and adenocarcinoma within the prostate has been noted before[3], this would be the first case ever reported with concurrent occurrence of malakoplakia of cervical lymph nodes in a patient with bony metastatic prostatic cancer
Summary
CONCURRENT MALAKOPLAKIA OF CERVICAL LYMPH NODES AND PROSTATIC ADENOCARCINOMA WITH BONY METASTA-. KHAN AND J.G. CARSON2 Departments of General Surgery and 1Medicine, Causeway Hospitals Trust Coleraine, Northern Ireland and 2Department of Histopathology, United Hospitals Trust, Antrim, Northern Ireland
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