BLEOMYCIN SCLEROSIS OF PELVIC LYMPHOCELES

Citation
Rk. Kerlan et al., BLEOMYCIN SCLEROSIS OF PELVIC LYMPHOCELES, Journal of vascular and interventional radiology, 8(5), 1997, pp. 885-887
Citations number
14
Categorie Soggetti
Radiology,Nuclear Medicine & Medical Imaging
ISSN journal
10510443
Volume
8
Issue
5
Year of publication
1997
Pages
885 - 887
Database
ISI
SICI code
1051-0443(1997)8:5<885:BSOPL>2.0.ZU;2-#
Abstract
PURPOSE: To describe the results of postoperative pelvic lymphocele tr eatment by means of percutaneous drainage and sclerosis with bleomycin , MATERIALS AND METHODS: Four patients underwent treatment of pelvic l ymphoceles by percutaneous tube drainage followed by instillation of b leomycin under fluoroscopic guidance at a concentration of 1 unit/mL, Bleomycin instillation was repeated at weekly intervals until the tube output was less than 10 mt per day. Three of four patients underwent unsuccessful sclerosis previously with alcohol, doxycycline, or povido ne iodine. RESULTS: Lymphocele drainage was reduced to less than 10 mi per 24 hours after bleomycin sclerosis in all patients. Three patient s required two sessions, and the fourth patient required three session s, No patient developed recurrent symptoms suggesting reaccumulation o f lymph during an average follow-up period of 11 months (range, 6-18 m onths), No complications related to percutaneous lymphocele drainage o r sclerosant therapy were encountered. CONCLUSION: Percutaneous intrac avitary instillation of bleomycin may be considered as an alternative to surgery in patients who have undergone unsuccessful lymphocele scle rosis with other agents.