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Actas Urológicas Españolas

Print version ISSN 0210-4806


ALVAREZ BANDRES, Silvia et al. Malacoplakia of the testis: a new case report and a literature review. Actas Urol Esp [online]. 2009, vol.33, n.9, pp.1028-1031. ISSN 0210-4806.

Malakoplakia is a uncommon chronic granulomatous condition of a benign nature preferentially occurring in the genitourinary tract. Testes are affected in 12% of cases, and the first case of testicular malakoplakia was reported in 1958. Forty cases have been reported worldwide since that date. We report a new case of testicular and epididymal malakoplakia in a 68-year-old male patient diagnosed of complicated orchiepididymitis who underwent orchidectomy to rule out a malignant tumor. The histopathological study demonstrated a chronic inflammatory infiltrate with histiocytes with an eosinophilic cytoplasm containing the characteristic Michaelis-Gutmann bodies diagnostic of malakoplakia. In connection with this new case and because of its unusual presentation, the literature on testicular malakoplakia is reviewed.

Keywords : Testicular malakoplakia; Epididymal malakoplakia; Michaelis-Gutmann bodies.

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