Journal List > Korean J Urol > v.48(4) > 1004910

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Park, Bang, Seo, Kim, Lee, and Ko: The Effect of Oral Prednisolone on Pseudo-tumor following Bacillus Calmette Guerin Intravesical Instillation
Case Report
Korean Journal of Urology

Korean Journal of Urology 2007; 48(4): 467-469.

Published online: 30 April 2007

DOI: https://doi.org/10.4111/kju.2007.48.4.467

The Effect of Oral Prednisolone on Pseudo-tumor following Bacillus Calmette Guerin Intravesical Instillation

Kyung Kgi Park, Woo Jin Bang1, Joo Wan Seo1, Young Sig Kim, Suk Young Lee, Woo Jin Ko

Department of Urology, National Health Insurance Corporation Ilsan Hospital, Yonsei University College of Medicine, Goyang, Korea.

1Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.

Corresponding author (kowj00@hanmail.net)

Received 24 July 2006       Accepted 26 February 2007

Copyright © 2007 The Korean Urological Association

Abstract

Herein, the case of a patient where a pseudo-tumor on the bladder wall, with irritable bladder symptoms following a Bacillus Calmette Guerin (BCG) intravesical instillation, was treated by prednisolone administration is reported. A 40-year-old female underwent a transurethral resection for a bladder carcinoma, with subsequent BCG intravesical instillation. After the final BCG intravesical instillation, the patient presented with lower urinary tract symptoms. A mass on the lateral wall of the bladder, reported as a granuloma formation, was treated with oral prednisolone, after which the symptoms and cystoscopic finding were dramatically improved. Finally, all bladder lesions and irritable bladder symptoms disappeared.

Keywords: Bladder tumor, Bacillus calmette guerin, Cystitis, Prednisolone

Figures and Tables

Fig. 1
The cystoscopic finding shows diffusely erythematous mucosa of the bladder (pre-treatment).
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Fig. 2
A 3cm sized protruding mass on the right lateral wall of the bladder (arrow head), with peritumoral wall thickening are found, but any perivesical tumor infiltration is not clear (pre-treatment).
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Fig. 3
Cystoscopic finding shows normal mucosa of the bladder (post-treatment).
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Fig. 4
No definitive mass on the bladder or wall thickening are found (post-treatment).
kju-48-467-g004

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