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[Percutaneous drainage of refractory necrotizing tumors: experience in 9 patients]
J Görich1, K A Brensing, V Kunze
1Radiologische Universitätsklinik Ulm.
Purpose:
The ranking of percutaneous drainage treatment in necrolytic advanced tumours was assessed.
Method:
9 patients with refractory symptomatic necrolytic tumours were treated for alleviation by percutaneous drainage. Additionally, an attempt to sclerose the necrotic cavity was performed in 6 patients (6 x mitoxantrone 30 mg/24 hrs, of which 1 x additionally 98% alcohol).
Results:
In 5 of the 9 patients symptomatic relief was obtained, but complete sclerosing of the necrotic cavity succeeded in only two patients. In two patients with necrotic tumours of the pelvis there was a bacterial superinfection of the tumour necrosis.
Conclusion:
Percutaneous alleviation is only occasionally successful in patients with necrolytic tumours. Therapy becomes effective probably only in case of successful sclerosing of the tumorous cavity.