Sai S, Sakakibara T, Takashi M, Sakata T, Miyake K
Department of Urology, Nagoya University School of Medicine.
Hinyokika Kiyo. 1990 Aug;36(8):953-5.
We report a case of granulomatous prostatitis after intravesical BCG immunotherapy for superficial bladder cancer. A 58-year-old man presented with gross hematuria. Cystoscopic examination revealed multiple tumors at the posterior wall of the bladder. The patient underwent transurethral resection of the tumor. Intravesical BCG immunotherapy was postoperatively followed and it eradicated the disease. Digital examination revealed that the prostate became stony-hard and larger 10 weeks after the initial BCG immunotherapy. A needle aspiration cytology and biopsy of the prostate revealed the granulomatous prostatitis due to BCG immunotherapy.
我们报告了1例浅表性膀胱癌患者在膀胱内卡介苗免疫治疗后发生肉芽肿性前列腺炎的病例。一名58岁男性出现肉眼血尿。膀胱镜检查发现膀胱后壁有多个肿瘤。患者接受了经尿道肿瘤切除术。术后进行膀胱内卡介苗免疫治疗,疾病得以根除。初次卡介苗免疫治疗10周后,直肠指检发现前列腺变硬如石且体积增大。前列腺穿刺细胞学检查及活检显示为卡介苗免疫治疗所致的肉芽肿性前列腺炎。