Testicular carcinoma includes embryonal cell, choriocarcinoma, and teratocarcinoma.
Give IV injection over a 10-min period. However, bleomycin instillation may be appropriate when drainage is between 100-300 ml under clinical conditions that necessitate sclerosis therapy. After instillation, clamp the thoracostomy tube, move patient from supine position to the left and right lateral positions several times during the next 4 h, remove clamp, and reestablish suction. The amount of time that the chest tube remains in place following sclerosis is indicated by clinical situation. Intrapleural injection of topical anesthetics or systemic narcotic analgesia is generally not needed.