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タイトル: | 膀胱癌に対するBCG膀胱内注入療法後に発症した結核性精巣上体炎の1例 |
その他のタイトル: | A Case of Tuberculous Epididymitis after Bacillus Calmette-Guérin Intravesical Instillation Therapy for Bladder Cancer |
著者: | 上阪, 裕香 高比, 優子 伊藤, 伸一郎 木内, 寛 市丸, 直嗣 |
著者名の別形: | Uesaka, Yuka Takahi, Yuko Ito, Shinichiro Kiuchi, Hiroshi Ichimaru, Naotsugu |
キーワード: | Tuberculous epididymitis BCG Intravesical instillation therapy |
発行日: | Feb-2012 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 58 |
号: | 2 |
開始ページ: | 113 |
終了ページ: | 116 |
抄録: | A 65-year-old male had undergone transurethral resection of bladder tumor (TUR-Bt) four times for recurrent bladder cancer, and each histopathological examination revealed non-invasive urothelial carcinoma, pTa, G2. To prevent further recurrence, he received eight weekly intravesical instillations of Bacillus Calmette-Guérin (BCG). Four months after the BCG therapy, he underwent cystoscopy. One week after the cystoscopy, he developed a painful and swollen left scrotum. Treatment with levofloxacin for acute epididymitis reduced the scrotal pain initially, but the pain increased and 3 months later, a fistula with suppurative discharge appeared at the bottom of the scrotum. A smear of the discharge revealed Gaffky 2, and a culture showed tubercle bacillus. Incisional drainage of the abscess and anti-tuberculosis chemotherapy for 2 months to treat tuberculous epididymitis was not completely effective. We performed a left orchiectomy with resection of the infected scrotal skin. Histopathological examination showed tuberculous epididymitis consisting of a caseating granuloma with epithelioid cells and Langhans giant cells. He received anti-tuberculosis chemotherapy for 4 months postoperatively and had no sign of recurrence 1 year postoperatively. |
著作権等: | 許諾条件により本文は2013-03-01に公開 |
URI: | http://hdl.handle.net/2433/154622 |
PubMed ID: | 22450841 |
出現コレクション: | Vol.58 No.2 |
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