Renal Tuberculous Granuloma after Intravesical Bacillus Calmette-Guerin Instillation for Bladder Tumor / 대한비뇨기과학회지

ABSTRACT

We report a case of a clinically asymptomatic granulomatous renal mass during intravesical Bacillus Calmette-Guerin (BCG) immunotherapy for superficial bladder cancer. BCG is the most effective agent currently available for the treatment of superficial bladder cancer. The side effects, during or shortly after treatment, were minor and self-limiting in the large majority of patients (fever, bladder irritability and hematuria). We emphasize the rarity of such extravesical complications, and discussed the possible routes of renal inoculation. Treatment consisted of partial nephrectomy and anti tubercular agents.