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  • Title: Malakoplakia of the maxillary sinus.
    Author: Nistal M, Regadera J, Razquin S, Paniagua R, Gavilan J.
    Journal: Ann Otol Rhinol Laryngol; 1985; 94(2 Pt 1):117-21. PubMed ID: 3994227.
    Abstract:
    The first case of malakoplakia in the nasal cavities is reported. The patient, a 21-year-old man, presented a polypoid formation in the left maxillary sinus that was removed and studied by light and electron microscopy. The polypoid formation consisted of pseudostratified epithelium surrounding a central myxoid tissue which contained fibroblasts, histiocytes, and small inflammatory infiltrates. The most relevant features were histiocyte accumulations containing 1 to 5-microns diameter granules which displayed a concentric multilayered configuration. Ultrastructural findings revealed three types of lysosomes within the histiocyte cytoplasm: phagolysosomes, intermediate bodies, and Michaelis-Gutmann bodies. Septate junctions between lysosomes were frequent. The etiopathogenesis of this lesion is discussed.
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