Korean J Otorhinolaryngol-Head Neck Surg.  2019 Apr;62(4):246-249. 10.3342/kjorl-hns.2018.00045.

Malakoplakia of Head and Neck Mimicking Malignant Lymphadenopathy: A Case Report

Affiliations
  • 1Department of Otolaryngology, School of Medicine, Ajou University, Suwon, Korea. ysshinmd@ajou.ac.kr

Abstract

Malakoplakia is usually found in the genitourinary tract; however, it occurs uncommonly as a chronic inflammatory disease and rarely in the head and neck area, having been reported in the literature only few times. Here, we report, with a review of the related literature, a case of malakoplakia on the posterior neck. A 76-year-old male patient visited our institution presenting a rapidly growing neck mass that had invaded the overlying skin for several weeks. The results of imaging studies strongly indicated a malignant tumor, but an accurate diagnosis was not made until after a fine needle aspiration biopsy was undertaken twice. The lesion was completely excised with an extended radical neck dissection including the overlying skin and scalene muscle upon consent of the patient. The pathological diagnosis was made with various immunohistochemical staining methods including Von Kossa, Periodic acid-Schiff-diastase, CD-68 and CD163. During the 24 months follow-up after the surgery, there was no sign of recurrence.

Keyword

Head and neck neoplasm; Malakoplakia; Michaelis-Gutmann body

MeSH Terms

Aged
Biopsy
Biopsy, Fine-Needle
Diagnosis
Follow-Up Studies
Head*
Humans
Lymphatic Diseases*
Malacoplakia*
Male
Neck Dissection
Neck*
Recurrence
Skin
Full Text Links
  • KJORL-HN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr