Asymptomatic renal granuloma diagnosed 3 years after Bacillus Calmette-Guérin intravesical injection : A case report and a literature review

© 2023 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association..

Introduction: Intravesical Bacillus Calmette-Guérin immunotherapy is an effective treatment for non-muscle-invasive bladder cancer, which is occasionally associated with side effects and complications. The incidence of significant renal complications after intravesical Bacillus Calmette-Guérin immunotherapy is less than 2%. We report a case of renal granuloma after intravesical Bacillus Calmette-Guérin immunotherapy for bladder cancer, which radiologically resembled a papillary renal cell carcinoma.

Case presentation: A 65-year-old man, who had a medical history of urothelial carcinoma and received intravesical Bacillus Calmette-Guérin therapy, was referred to our Urology Department with a right renal tumor. Imaging findings suggested papillary renal cell carcinoma. Robot-assisted partial nephrectomy was performed, and the histopathological examination revealed epithelioid cell granuloma, which were considered to be Bacillus Calmette-Guérin-related renal granuloma.

Conclusion: Bacillus Calmette-Guérin-related renal granuloma mimicking papillary renal cell carcinoma have been reported. We should consider the possibility of renal granulomas when encountering image abnormalities for patients treated with intravesical Bacillus Calmette-Guérin therapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:6

Enthalten in:

IJU case reports - 6(2023), 6 vom: 10. Nov., Seite 377-381

Sprache:

Englisch

Beteiligte Personen:

Tsuru, Ibuki [VerfasserIn]
Nakamura, Masaki [VerfasserIn]
Izumi, Taro [VerfasserIn]
Ono, Akihiro [VerfasserIn]
Masuda, Yoshio [VerfasserIn]
Kusakabe, Masashi [VerfasserIn]
Morikawa, Teppei [VerfasserIn]
Kume, Haruki [VerfasserIn]
Shiga, Yoshiyuki [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Granuloma
Kidney
Nephrectomy
Renal tuberculosis

Anmerkungen:

Date Revised 07.11.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1002/iju5.12627

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364201371