Granulomatous renal mass during endovesical BCG therapy for bladder carcinoma. Diagnosis by fine-needle aspiration.
One case of pseudotumoral granulomatous renal mass during endovesical bacillus Calmette-Guérin (BCG) therapy for superficial bladder neoplasm is reported. Such an adverse effect is exceptional and is clearly related to a vesicorenal reflux in our patient. In this case ultrasound-guided fine-needle aspiration was able to settle the diagnosis and avoid surgery. The patient responded to triple antituberculous therapy.
De Boisgisson
P
P
Departmente d'Urologie, Clinique Saint Hilaire, Rouen, France.
Roussel
F
F
Leclerc
D
D
Picquenot
J M
JM
D001500:BCG Vaccine / Q000009:adverse effects* / Q000627:therapeutic use; D001707:Biopsy, Needle; D006099:Granuloma / Q000209:etiology* / Q000473:pathology; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000628:therapy*; D014718:Vesico-Ureteral Reflux / Q000150:complications
D001500:BCG Vaccine