Difference between revisions of "Malakoplakia"

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'''Malakoplakia''' is a thingy that typically arises in the bladder.
{{ Infobox diagnosis
| Name      = {{PAGENAME}}
| Image      = Michaelis-Gutmann_bodies_-_very_high_mag_-_cropped.jpg
| Width      =
| Caption    = Malakoplakia with numerous Michaelis-Gutmann bodies. [[H&E stain]].
| Micro      = basophilic calcified bodies approximately the size of a RBC (Michaelis-Gutmann body) - inside or outside of macrophages, large foamy macrophages with granular cytoplasm +/- multinucleation, lymphocytes
| Subtypes  =
| LMDDx      = Xanthogranulomatous process (e.g. [[xanthogranulomatous pyelonephritis]], xanthogranulomatous cystitis), [[Granuloma|granulomatous inflammation]], [[papillary renal cell carcinoma]], infarction (prostate), [[granular cell tumour]]
| Stains    =
| IHC        =
| EM        =
| Molecular  =
| IF        =
| Gross      = yellow mass
| Grossing  =
| Site      = [[urinary bladder]] and elsewhere
| Assdx      =
| Syndromes  =
| Clinicalhx =
| Signs      =
| Symptoms  =
| Prevalence = uncommon
| Bloodwork  =
| Rads      =
| Endoscopy  = yellow lesion
| Prognosis  = benign
| Other      =
| ClinDDx    = [[renal cell carcinoma]], other tumours
}}
'''Malakoplakia''' is a thingy that typically arises in the [[urinary bladder]].


==General==
==General==
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==Gross==
==Gross==
*Yellow mass.<ref>URL: [http://www.pathconsultddx.com/pathCon/diagnosis?pii=S1559-8675(06)70719-7 http://www.pathconsultddx.com/pathCon/diagnosis?pii=S1559-8675(06)70719-7]. Accessed on: 9 September 2010.</ref>
*Yellow mass.<ref>URL: [http://www.pathconsultddx.com/pathCon/diagnosis?pii=S1559-8675(06)70719-7 http://www.pathconsultddx.com/pathCon/diagnosis?pii=S1559-8675(06)70719-7]. Accessed on: 9 September 2010.</ref>
**May mimic renal cell carcinoma.
**May mimic [[renal cell carcinoma]].


==Microscopic==
==Microscopic==
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**If you cannot find the Michaelis-Gutmann bodies... it is a xanthogranulomatous process, e.g. [[xanthogranulomatous pyelonephritis]], xanthogranulomatous cystitis.
**If you cannot find the Michaelis-Gutmann bodies... it is a xanthogranulomatous process, e.g. [[xanthogranulomatous pyelonephritis]], xanthogranulomatous cystitis.
*[[Granuloma|Granulomatous inflammation]].
*[[Granuloma|Granulomatous inflammation]].
*Papillary [[renal cell carcinoma]].
*[[Papillary renal cell carcinoma]].
*Infarction (prostate).
*Infarction (prostate).
*[[Granular cell tumour]].<ref name=pmid19239951/>


Images:
===Images===
*[http://commons.wikimedia.org/wiki/File:Michaelis-Gutmann_bodies_-_very_high_mag_-_cropped.jpg Michaelis-Gutmann bodies - high mag. cropped (WC)].
====Case====
*[http://commons.wikimedia.org/wiki/File:Michaelis-Gutmann_bodies_-_very_high_mag.jpg Michaelis-Gutmann bodies - high mag. (WC)].
<gallery>
*[http://www.pathconsultddx.com/pathCon/largeImage?pii=S1559-8675(06)70342-4&figureId=fig5&ecomponentId=mmc5 Malakoplakia (pathconsultddx.com)]
Image:Michaelis-Gutmann_bodies_-_very_high_mag_-_cropped.jpg | Michaelis-Gutmann bodies - high mag. cropped (WC)
Image:Michaelis-Gutmann_bodies_-_very_high_mag.jpg | Michaelis-Gutmann bodies - high mag. (WC)
Image:malakoplakia bladder.jpg | Michaelis-Gutmann bodies - high mag. (WC)
</gallery>
 
====www====
*[http://granuloma.homestead.com/malakoplakia_bladder_s92-4486e.jpg Malakoplakia (granuloma.homstead.com)].
*[http://granuloma.homestead.com/malakoplakia_bladder_s92-4486e.jpg Malakoplakia (granuloma.homstead.com)].
*[http://www.gfmer.ch/selected_images_v2/detail_list.php?cat1=13&cat3=342&stype=d Michaelis-Gutmann bodies (gfmer.ch)].
*[http://www.gfmer.ch/selected_images_v2/detail_list.php?cat1=13&cat3=342&stype=d Michaelis-Gutmann bodies (gfmer.ch)].


==Stains==
==Stains==
*PAS-D +ve.<ref name=pmid17284117/>
*[[PAS-D stain]] +ve.<ref name=pmid17284117/>
*[[Von Kossa stain]] +ve.<ref name=pmid19239951>{{Cite journal  | last1 = Diapera | first1 = MJ. | last2 = Lozon | first2 = CL. | last3 = Thompson | first3 = LD. | title = Malacoplakia of the tongue: a case report and clinicopathologic review of 6 cases. | journal = Am J Otolaryngol | volume = 30 | issue = 2 | pages = 101-5 | month =  | year =  | doi = 10.1016/j.amjoto.2008.02.014 | PMID = 19239951 }}</ref>


==See also==
==See also==
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[[Category: Genitourinary pathology]]
[[Category: Genitourinary pathology]]
[[Category:Diagnosis]]
[[Category:Urothelium]]
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