History of infantile BCG immunization did not predict lamina propria invasion and/or high-grade in patients with non-muscle invasive bladder cancer

Arch Ital Urol Androl. 2023 May 31;95(2):11380. doi: 10.4081/aiua.2023.11380.

Abstract

Objective: To evaluate the utility of infantile BCG vaccination history in predicting stage and grade of tumours in non-muscle invasive bladder cancer (NMIBC).

Materials and methods: We retrospectively analyzed data from patients from a single center who were diagnosed with new NMIBC and underwent transurethral resection of bladder tumour (TURBT) between 2017 and 2022. We assessed BCG immunization status with various demographics and comorbidities, as well as tumour recurrence, progression, stage, and grade.

Results: A total of 188 patients met the inclusion criteria for our study. The mean age of patients at the time of diagnosis was significantly lower in those that had been immunized with BCG (71 ± 9) than those who had not (77 ± 10) (p < 0.0001). History of BCG immunization did not correlate with sex, history of diabetes mellitus (DM), prior history of intravesical BCG treatment, and tumour recurrence, progression, stage, and grade.

Conclusions: History of infantile BCG vaccination did not correlate with the depth of invasion and/or the grade in patients with non-muscle invasive bladder cancer. Patients that received infantile BCG vaccination were significantly younger at the time of diagnosis of NMIBC.

MeSH terms

  • Adjuvants, Immunologic
  • BCG Vaccine
  • Humans
  • Immunization
  • Neoplasm Invasiveness
  • Neoplasm Recurrence, Local
  • Non-Muscle Invasive Bladder Neoplasms*
  • Retrospective Studies
  • Urinary Bladder Neoplasms* / pathology

Substances

  • BCG Vaccine
  • Adjuvants, Immunologic