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Case Reports
. 2017 Nov 21:18:94-96.
doi: 10.1016/j.eucr.2017.11.009. eCollection 2018 May.

Malakoplakia of the prostate diagnosed on multiparametric-MRI ultrasound fusion guided biopsy: A case report and review of the literature

Maria C Velasquez  1 , Paul J Taylor Smith  2 , Nachiketh Soodana Prakash  1 , Bruce Kava  1 , Oleksandr N Kryvenko  1   2   3 , Rosa Castillo-Acosta  4 , Leonardo Kayat Bittencourt  5 , Mark L Gonzalgo  1   3 , Chad Ritch  1   3 , Dipen J Parekh  1   3 , Sanoj Punnen  1   3
Affiliations
Case Reports

Malakoplakia of the prostate diagnosed on multiparametric-MRI ultrasound fusion guided biopsy: A case report and review of the literature

Maria C Velasquez et al. Urol Case Rep. .
No abstract available

Keywords: Malakoplakia; Michaelis-Gutmann bodies; MpMRI; Prostate cancer.

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Figures

Fig. 1
Fig. 1
Upper left: Axial T2 demonstrating a non-circumscribe, ill-defined, homogeneous, hipointense bulging lesion in the bilateral posterior mid gland and apical peripheral zone with seminal vesicle extension. Upper right: Early arterial phase DCE. Lower left: High b-value DWI. Lower right: Exact localization of the cores taken from the suspicious lesion during the mpMRI ultrasound fusion guided biopsy.
Fig. 2
Fig. 2
Left: High power magnification showing atrophic prostatic glands surrounded by marked chronic inflammation with significant amount of histiocytes. Right: Pathognomonic Michaelis–Gutmann bodies (Right).
See this image and copyright information in PMC

References

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    1. Stanton M.J., Maxted W. Malakoplakia: a study of the literature and current concepts of pathogenesis, diagnosis and treatment. J Urol. 1981;125:139–146. - PubMed
    1. Dale R.B., Metcalfe M., Chang S. Malakoplakia of the prostate masquerading as locally advance prostate cancer on mpMRI. Can Urol Assoc J. 2015;9:11–12. - PMC - PubMed
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    1. Moldovan PC, Van den Broeck T, Sylvester R et al. What is the negative predictive value of multiparametric magnetic resonance imaging in excluding prostate cancer at biopsy? a systematic review and meta-analysis from the European Association of Urology Prostate Cancer Guidelines Panel. Eur Urol. DOI: 10.1016/j.eururo.2017.02.026. - DOI - PubMed

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