Malacoplakia manifesting as a chronic inflammatory mass at the site of a nonhealing surgical wound.
Malacoplakia in the head and neck is uncommon, and malacoplakic lesions involving the thyroid are extremely rare. The author describes the case of a 64-year-old woman who developed malacoplakia at the site of a previous total thyroidectomy. The disease manifested as a chronic inflammatory mass beneath a persistently discharging surgical wound site, and it prevented the incision from healing. Diagnosis was based on a thorough histopathologic analysis.
Pang
Leou-Chuan
LC
Department of Pathology, Chang-Gung Hospital and Chang-Gong University School of Medicine, Linkou, Taoyuan, Taiwan. linkoupang@yahoo.com
D002908:Chronic Disease; D003646:Debridement; D003937:Diagnosis, Differential; D004817:Epidermis / Q000473:pathology; D004927:Escherichia coli Infections / Q000382:microbiology; D005260:Female; D006644:Histiocytes / Q000473:pathology; D006801:Humans; D007710:Klebsiella Infections / Q000382:microbiology; D008287:Malacoplakia / Q000209:etiology / Q000473:pathology*; D008875:Middle Aged; D011183:Postoperative Complications; D013530:Surgical Wound Infection / Q000382:microbiology / Q000473:pathology* / Q000601:surgery; D013965:Thyroidectomy