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  • Title: Malakoplakia of kidney simulating renal neoplasm.
    Author: Trillo A, Lorentz WB, Whitley NO.
    Journal: Urology; 1977 Nov; 10(5):472-7. PubMed ID: 919144.
    Abstract:
    In a nine-year-old girl with renal hypertension and a urinary infection, angiographic studies of the left kidney suggested an intrarenal pheochromocytoma. After nephrectomy, the kidney was found to contain only a cystic lesion characterized by multiple small, friable excrescences. Under the light microscope these appeared to be formed by granulovacuolated macrophages. Electron microscopy showed intracytoplasmic inclusion identified as Michaelis-Gutmann bodies in various stages of formation. Images suggestive of degraded bacteria were also observed within phagolysosomes.
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