Coexistence of urinary tuberculosis and urothelial carcinoma:A case report  

作　　者：Yu-Chi Tsai Chiao-Ching Li Bing-Tau Chen Chien-Yao Wang 

机构地区：[1]Division of Infectious Diseases,Department of Internal Medicine,Kaohsiung Armed Forces General Hospital,Kaohsiung 802301,Taiwan [2]Division of Infectious Diseases and Tropical Medicine,Department of Internal Medicine,Tri-Service General Hospital,National Defense Medical Center,Taipei 114202,Taiwan [3]Division of Urology,Department of Surgery,Pingtung branch,Kaohsiung Armed Forces General Hospital,Pingtung 900048,Taiwan [4]Division of Urology,Department of Surgery,Kaohsiung Armed Forces General Hospital,Kaohsiung 802301,Taiwan [5]Division of Urology,Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 114202,Taiwan [6]Division of Urology,Department of Surgery,Kaohsiung Veterans General Hospital,Kaohsiung Veterans General Hospital,Kaohsiung 813414,Taiwan

出　　处：《World Journal of Clinical Cases》2023年第16期3921-3928,共8页世界临床病例杂志

摘　　要：BACKGROUND Taiwan has a high prevalence of tuberculosis and urothelial carcinoma.However,the simultaneous occurrence of both disorders in one patient is uncommon.Tuberculosis and urothelial carcinoma share some common risk factors and could demonstrate overlapping clinical manifestations.CASE SUMMARY Herein,we report the case of a patient who presented with fever,persistent hematuria,and pyuria.Chest computed tomography scans revealed a bilateral upper lobes cavitary lesion with fibrosis.Severe hydronephrosis of the right kidney and renal stones and cysts in the left kidney were observed.Initial microbiological testing was negative;however,a polymerase chain reaction assay of the urine confirmed a urinary tuberculosis infection.The patient was started on an anti-tuberculosis regimen.Ureteroscopy performed to resolve obstructive nephropathy revealed the incidental finding of a left middle-third ureteral tumor.Examination after biopsy and transurethral resection of the bladder tumor indicated urothelial carcinoma.The patient underwent laparoscopic nephroureterectomy,with bladder cuff excision for the right kidney and ureter,and holmium laser ablation of the ureteral lesion to preserve the left kidney and ureter.He has remained stable after the procedures.CONCLUSION Although establishing a causal relationship between tuberculosis and cancer is difficult,medical personnel should consider their correlation.

关 键 词：Urinary tuberculosis Urothelial carcinoma FEVER HEMATURIA TAIWAN Case report 

分 类 号：R737.1[医药卫生—肿瘤] R527[医药卫生—临床医学]