Jeong Jin Woon, Noh Ji Hyun, Kang Jeong Hyun, Park Ji Hyun, Lee Joo Hyung
Department of Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Department of Pathology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Korean J Clin Oncol. 2021 Jun;17(1):44-47. doi: 10.14216/kjco.21007. Epub 2021 Jun 30.
Malakoplakia is a rare chronic granulomatous disease found in the genitourinary tract, mainly. It is considered to be related to immunosuppression and/or infectious processes. We would like to present an operative case of cecal malakoplakia in a patient with a history of surgical resection and chemotherapy for cervical cancer. A 74-year-old female patient visited our hospital for 1-year follow-up after operation and chemo-radiotherapy for cervical cancer. An infiltrative mass of 6 cm, between the cecal base and the right psoas muscle, was observed on computed tomography. An ileocectomy was performed for diagnosis. Histopathologic examination revealed cecal malakoplakia. After surgery, based on previous reports, antibiotics therapy was added. Then the patient was discharged and treated in the outpatient clinic. To our knowledge, a rare case has been described of cecal malakoplakia during observation after surgery and chemo-radiotherapy for cervical cancer. Malakoplakia is known to be related to immunosuppressive condition. Therefore, our case suggests that close observation should be made in patients on immunosuppressive condition, such as chemotherapy.
软斑病是一种罕见的慢性肉芽肿性疾病，主要见于泌尿生殖道。它被认为与免疫抑制和/或感染过程有关。我们想介绍一例盲肠软斑病的手术病例，该患者有宫颈癌手术切除及化疗史。一名74岁女性患者因宫颈癌手术及放化疗后1年随访来我院就诊。计算机断层扫描显示盲肠底部与右侧腰大肌之间有一个6厘米的浸润性肿块。为明确诊断行回盲部切除术。组织病理学检查显示为盲肠软斑病。术后，根据既往报道，加用抗生素治疗。然后患者出院并在门诊接受治疗。据我们所知，这是一例在宫颈癌手术及放化疗后观察期间出现盲肠软斑病的罕见病例。已知软斑病与免疫抑制状态有关。因此，我们的病例提示，对于处于免疫抑制状态的患者，如接受化疗的患者，应密切观察。
