J Chest Surg.  2022 Oct;55(5):422-424. 10.5090/jcs.22.018.

Pulmonary Malakoplakia Associated with Peripheral Cysts in an Immunocompetent Patient: A Case Report

Affiliations
  • 1Departments of Pulmonology, Hospital Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brasil
  • 2Departments of Thoracic Radiology, Hospital Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brasil
  • 3Departments of Thoracic Surgery, Hospital Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brasil
  • 4Departments of Pathology, Hospital Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brasil

Abstract

Pulmonary malakoplakia is a rare lung lesion more frequently found in immunocompromised patients than in immunocompetent individuals. In this study, we report the challenging case of a young immunocompetent patient with an irregular pulmonary nodule with peripheral cysts who, after undergoing surgery, was diagnosed with malakoplakia. Due to the rarity of the disease and the similarity of this condition to malignant neoplasms, cytopathological or histopathological examinations are necessary for the correct diagnosis. A description of pulmonary malakoplakia with peripheral cysts has not been previously published in the literature.

Keyword

Malakoplakia; Immunocompetence; Granulomatous disease; Lung neoplasm; Pulmonary neoplasms; Case report
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