COMPLICATIONS OF INTRACAVITARY BACILLUS-CALMETTE-GUERIN AFTER PERCUTANEOUS RESECTION OF UPPER TRACT TRANSITIONAL-CELL CARCINOMA

被引:35
|
作者
BELLMAN, GC
SWEETSER, P
SMITH, AD
机构
[1] Department of Urology, Long Island Jewish Medical Center, New Hyde Park, NY
来源
JOURNAL OF UROLOGY | 1994年 / 151卷 / 01期
关键词
BCG VACCINE; KIDNEY NEOPLASMS; CARCINOMA; TRANSITIONAL CELL;
D O I
10.1016/S0022-5347(17)34860-7
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Percutaneous resection and intracavitary instillation of bacillus Calmette-Guerin (BCG) is currently being used in treatment protocols in select patients in whom the standard nephroureterectomy for upper tract transitional cell carcinoma is undesirable. However, the complications of BCG in these patients are not well defined. Among 16 patients treated in this manner 4 (25%) had asymptomatic granulomatous involvement of the renal pelvis discovered during regular followup nephroscopy and biopsy: 2 had recurrent carcinoma at discovery, whereas the other 2 remain free of disease. The significance and therapeutic consequences of BCG granulomatosis are unknown. Continued followup is necessary to identify any complications of BCG therapy.
引用
收藏
页码:13 / 15
页数:3
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