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Coexistence of urinary tuberculosis and urothelial carcinoma: A case report

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 S...

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Autores principales: Tsai, Yu-Chi, Li, Chiao-Ching, Chen, Bing-Tau, Wang, Chien-Yao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10294158/
https://www.ncbi.nlm.nih.gov/pubmed/37383138
http://dx.doi.org/10.12998/wjcc.v11.i16.3921
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author Tsai, Yu-Chi
Li, Chiao-Ching
Chen, Bing-Tau
Wang, Chien-Yao
author_facet Tsai, Yu-Chi
Li, Chiao-Ching
Chen, Bing-Tau
Wang, Chien-Yao
author_sort Tsai, Yu-Chi
collection PubMed
description 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.
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spelling pubmed-102941582023-06-28 Coexistence of urinary tuberculosis and urothelial carcinoma: A case report Tsai, Yu-Chi Li, Chiao-Ching Chen, Bing-Tau Wang, Chien-Yao World J Clin Cases Case Report 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. Baishideng Publishing Group Inc 2023-06-06 2023-06-06 /pmc/articles/PMC10294158/ /pubmed/37383138 http://dx.doi.org/10.12998/wjcc.v11.i16.3921 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Tsai, Yu-Chi
Li, Chiao-Ching
Chen, Bing-Tau
Wang, Chien-Yao
Coexistence of urinary tuberculosis and urothelial carcinoma: A case report
title Coexistence of urinary tuberculosis and urothelial carcinoma: A case report
title_full Coexistence of urinary tuberculosis and urothelial carcinoma: A case report
title_fullStr Coexistence of urinary tuberculosis and urothelial carcinoma: A case report
title_full_unstemmed Coexistence of urinary tuberculosis and urothelial carcinoma: A case report
title_short Coexistence of urinary tuberculosis and urothelial carcinoma: A case report
title_sort coexistence of urinary tuberculosis and urothelial carcinoma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10294158/
https://www.ncbi.nlm.nih.gov/pubmed/37383138
http://dx.doi.org/10.12998/wjcc.v11.i16.3921
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