표재성 방광종양에서 BCG 주입요법 후 요관 주위에 발생한 결핵성 육아종에 의한 요관폐쇄
Ureteral Obstruction Caused by Periureteral Tuberculous Granuloma after Intravesical BCG Therapy for Superficial Bladder Tumors
남상복, 박정석, 김재준, 박준탁, 남삼극,
소속 상세정보
남상복 ( Nam Sang-Bok )
서울위생병원 비뇨기과
박정석 ( Park Jung-Suk )
서울위생병원 비뇨기과
김재준 ( Kim Jae-Jun )
서울위생병원 비뇨기과
박준탁 ( Park Jun-Tag )
서울위생병원 비뇨기과
남삼극 ( Nam Sam-Keuk )
서울위생병원 비뇨기과
KMID : 0358320060470040436
Abstract
Bacillus Calmette-Guerin(BCG) is an attenuated strain of Mycobacterium bovis(M. bovis) that has been used to treat transitional cell carcinoma. Since the initial report by Morales and associates on the use of intravesical BCG for the treatment of recurrent superficial bladder tumors, intravesical therapy with BCG has proved to be more effective for prophylaxis and the treatment of superficial bladder tumors and carcinoma in situ than most of the standard chemotherapeutic agents. While the majority of patients tolerate BCG treatments well, a number of adverse reaction(e.g., fever, hematuria, dysuria, nausea and malaise) have been reported. More serious complications occur on rare occasions and they include pneumonitis/hepatitis, ureteral obstruction, renal abscess and sepsis. We report here on a case of ureteral obstruction that was caused by periureteral tuberculous granuloma after intravesical BCG therapy for superficial bladder tumors, and the condition required distal ureterectomy & ureteroneocystostomy. (Korean J Urol 2006;47:436-439)
키워드
Mycobacterium bovis;Bladder neoplasms;Granuloma;Ureteral obstruction
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