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Ovarian tumour-cutaneous fistula as a primary presentation of pelvic malakoplakia coexisting with a benign ovarian tumour mimicking advanced ovarian cancer.
Aue-Aungkul, Apiwat; Muktabhant, Chawiporn; Kleebkaow, Pilaiwan.
Afiliación
  • Aue-Aungkul A; Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand apiaue@kku.ac.th.
  • Muktabhant C; Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Kleebkaow P; Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
BMJ Case Rep ; 17(6)2024 Jun 24.
Article en En | MEDLINE | ID: mdl-38914526
ABSTRACT
Malakoplakia is a rare granulomatous, chronic inflammatory disease generally affecting the urogenital organs, though it can arise in other organs. The clinical manifestations of malakoplakia vary depending on the affected organ. The final diagnosis is confirmed by the presence of Michaelis-Gutmann bodies on pathology. This report describes a case of pelvic malakoplakia accompanied by an ovarian tumour-cutaneous fistula, initially misdiagnosed as advanced ovarian cancer invading the anterior abdominal wall with left pleural effusion based on imaging studies and increased serum carbohydrate antigen 19-9. The patient underwent left thoracentesis and fluid collection from the fistula tract for cytology, which showed no malignancy. She underwent primary debulking surgery, including removal of the fistula tract from anterior abdominal wall. Histopathological examination revealed malakoplakia coexisting with mucinous cystadenoma of the left ovary. For postoperative management, she received prolonged oral antibiotics for 6 months. There was no evidence of disease recurrence at the 24-month follow-up.
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Texto completo: 1 Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Fístula Cutánea / Malacoplasia Límite: Female / Humans / Middle aged Idioma: En Revista: BMJ Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Tailandia

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Fístula Cutánea / Malacoplasia Límite: Female / Humans / Middle aged Idioma: En Revista: BMJ Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Tailandia