title: [Malacoplakia of the female genital tract in a woman with postmenopausal bleeding].
abstract: A 74-year-old woman had vaginal bleeding for 6 months with no other complaints. A suspected tumour was visible on the cervix and the endometrium was slightly thickened. Histological examination revealed Michaelis-Gutmann bodies. Following antibiotic treatment, the tumour and the bleeding disappeared. Malacoplakia is a chronic inflammation which usually arises in the urinary tract of older women and, rarely, in the female genital tract. The abnormality often appears to be a malignancy, although histologically it is an inflammatory condition. Histological examination is necessary to establish the diagnosis. Treatment usually consists of antibiotics and surgical excision.
authors.affiliation: Afd. Gynaecologie en Obstetrie, Canisius-Wilhelmina Zickenhuis, Postbus 9015, 6500 GS Nijmegen. gyncwz@wxs.nl
authors.forename: W
authors.initials: W
authors.lastname: Wiltenburg
authors.forename: M G A J
authors.initials: MG
authors.lastname: Wouters
authors.forename: A M
authors.initials: AM
authors.lastname: Uyterlinde
authors.forename: J M J
authors.initials: JM
authors.lastname: Sporken
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004717:Endometrium / Q000473:pathology; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006801:Humans; D008287:Malacoplakia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D017698:Postmenopause; D011379:Prognosis; D014592:Uterine Hemorrhage / Q000209:etiology* / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents