MANAGEMENT OF PERSISTENT LYMPHOCELE BY SCLEROTHERAPY WITH DOXYCYCLINE

Three cases of lymphocele after lymphadenectomy for gynecologic malign ancy are presented. These patients had large, symptomatic lymphoceles resistant to percutaneous catheter drainage. Sclerotherapy with a sing le dose of doxycycline was administered percutaneously to each patient . Single treatment achieved resolution in two patients. The third had a persistent lymphocele requiring excision. To our knowledge, doxycycl ine has not been used for sclerotherapy for lymphocele following radic al gynecologic surgery. It may represent a viable addition to the cons ervative management of lymphoceles.