Primary advanced non-Hodgkin’s lymphoma of bladder with bilateral hydroureteronephrosis: A case report

Aditya MG, Raisa NS, Pratik A

Pdf Page Numbers :- 184-186

Gupta Aditya M^1,*, Shetty Raisa N¹, and Amlani Pratik¹

¹Department of Urology,Yashoda hospital, Secunderabad, Telangana-500003, India

*Corresponding Author: Dr. Aditya Gupta, 1-c, Sabarmati Industrial Society near Indus Hospital, Sabarmati, Ahmedabad, Gujarat 380005. Mobile: 9979971024; Email: dradityauro@gmail.com

Received 5 April 2021; Revised 12 June 2021; Accepted 22 June 2021; Published 2 July 2021

Citation: Aditya MG, Raisa NS, Pratik A. Primary advanced non-Hodgkin’s lymphoma of bladder with bilateral hydroureteronephrosis: A case report. J Med Sci Res. 2021; 9(3):184-186. DOI: http://dx.doi.org/10.17727/JMSR.2021/9-27

Copyright: © 2021 Aditya MG et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Primary lymphoma of bladder is a very rare entity with a 0.2% incidence of all bladder malignancies. Secondary bladder involvement in malignant lymphoma is more common (10-25%) with preponderance in middle aged females. A non-Hodgkin lymphoma of the bladder can be managed conservatively without surgery and has a better prognosis. Because the presenting symptoms and radiological imaging cannot conclusively rule out a primary bladder lymphoma from other malignant causes, cystoscopy and biopsy with immune-histochemical staining is essential. We present to you a 72-year-old male with complaints of irritative lower urinary tract symptoms and asymptomatic microhematuria. On evaluation computerized tomography (CT) was s/o a large bladder wall mass with bilateral mild hydroureteronephrosis and enlarged pelvic lymphnodes. Cystoscopy and biopsy was done and the report came out to be a non-Hodgkins lymphoma. Whole body positron emission tomography (PET) scan was done which confirmed it to be a primary bladder NHL. Patient was treated with chemotherapy and is now doing well on follow up. We would like to share our experience in managing this case.

Keywords: non-Hodgkin lymphoma; bladder malignancy; cystoscopy