[Percutaneous drainage of refractory necrotizing tumors: experience in 9 patients]. / Perkutane Drainage von therapierefraktären nekrotisierenden Tumoren: Erfahrungen bei 9 Patienten.

ABSTRACT

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.