Sclerotherapy with bleomycin for recurrent massive inguinal lymphoceles following partial vulvectomy and bilateral lymphadenectomy-Case report and literature review.
BACKGROUND
Formation of lymphoceles following radical vulvectomy presents a formidable problem that is associated with high degree of morbidity. A variety of approaches have been described in the literature to treat this condition.


METHODS
An 82-year-old woman developed massive inguinal lymphoceles following partial vulvectomy and inguinal lymphadenectomy for cancer vulva. The lymphoceles involved wide surface areas extending to both flanks, and accumulation of lymph was very rapid at a rate of 1 l daily. The condition failed to respond to continuous drainage and compression for 6 weeks, but responded quickly to sclerotherapy using bleomycin without any significant side effects.


CONCLUSIONS
Intracavitary bleomycin could be used safely and effectively in huge rapidly accumulating lymphoceles.
Elsandabesee
D
D
Department of Obstetrics and Gynaecology, James Paget Hospital, Great Yarmouth, Norfolk NR31 6LA, UK. deyamonir@hotmail.com
Sharma
B
B
Preston
J
J
Ostrowski
J
J
Nieto
J
J
D000368:Aged; D000369:Aged, 80 and over; D001761:Bleomycin / Q000627:therapeutic use*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology; D008210:Lymphocele / Q000209:etiology / Q000628:therapy*; D015911:Sclerotherapy / Q000379:methods*; D014846:Vulvar Neoplasms / Q000601:surgery*
D001761:Bleomycin