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Group: Skin & Superficial Tumours

ECT: Exploratory / low-volume literature22 publications

Kaposi Sarcoma

The skin lesions of Kaposi sarcoma are numerous and scattered; being able to treat many nodules in a single session is the main rationale given in the literature for studying electrochemotherapy in this indication. Clinical series exist for both classic and HIV-associated forms.

24publication records23 unique studies once versions are merged
17clinical publication records
1preclinical publication record
2reviews
2006–2025publication span

Clinical publications: randomized, prospective and retrospective studies, case series and case reports. Preclinical publications: animal, in vitro, modelling and experimental biophysics studies.

Clinical and Technical Data Reported in the Publications

The sum of the fields reported in the full text of the 24 publications in this area. The numbers are summed, not interpreted.

Sum of the patient counts reported across publications423 (reported in 20 publications)
Total lesions reported2,272 (in 6 publications)
Devices used (8 publications naming a device)Cliniporator (6) · ePORE (2)
Agent delivered and route (20 publications reporting an agent)bleomycin · intravenous (17) · bleomycin (2) · bleomycin · intratumoural (1)
Approach (15 publications report it)transcutaneous surface (10) · percutaneous (5)
Image guidance (8 publications report it)direct vision (6) · ultrasound (2)
Response criteria (20 publications report it)RECIST (8) · clinical examination (7) · ESOPE criteria (2) · RECIST 1.1 (2) · WHO criteria (1)
Combination therapy (10 publications report it)systemic chemotherapy (5) · other immunotherapy (3) · other combination (2) · checkpoint inhibitor (1) · targeted therapy (1)
Publications reporting retreatment15 of 20 publications (4 do not report it)
Field strength730–1300 V/cm (4 records, median 1300)
Applied voltage680–730 V (2 records, median 730)
Number of pulses8–60 (7 records, median 8)
Pulse duration100–100000 µs (4 records, median 100000)

The totals are not a count of unique patients: the same cohort may have been reported in more than one publication.

Literature Status by Method

Publication count, clinical and preclinical split, literature volume and publication span for each clinical method. The badge at the top of the page summarises the ECT record only; the full split by method is here.

Electrochemotherapy (ECT)

22publication records
16clinical publication records
1preclinical publication record

Exploratory / low-volume literaturethreshold 4/22 records

Clinical and preclinical split of that figure: 2 clinical, 0 preclinical.

2006–2025

Other electroporation applications

2publication records
1clinical publication records
0preclinical publication records

This set does not name a single clinical method; no literature volume is assigned.

2019–2023

Mechanisms Mentioned in Abstracts

The figure is the number of abstracts mentioning the mechanism. A mention does not mean it was demonstrated in that study.

Increased Intracellular Bleomycin Accumulation 4 Potentiation of Cytotoxic Drug Permeability 3 Muscle Contraction and Anaesthesia Requirement 2 Necrosis and Necroptosis 1 Electrode Geometry and Placement 1 Reversible Membrane Permeabilisation 1

Study Type Distribution

The percentage gives the share of the whole area.

Study typePublicationsShare within this area
Clinical Study8
33%
Retrospective Clinical Study2
8%
Case Series2
8%
Case Report5
21%
Systematic Review / Meta-Analysis1
4%
Guideline / Consensus1
4%
Review1
4%
Animal Study1
4%
Editorial / Letter1
4%
Correction / Erratum1
4%
Not reported1
4%

Publication Table

24 publication records sorted by study design. Click a title to open the citation, mechanism and full abstract drawer.

Classifications are generated automatically and can be wrong for individual records. Methodology

24 publication records shown

RegimePublicationYearStudy typeModelMechanismPatients / lesionsDeviceAgent and routeReported outcomeAbstract
ECT
Quaglino et al · Eur J Surg Oncol
2025Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation, Potentiation of Cytotoxic Drug Permeability82 / 261Cliniporatorbleomycin · intravenouscomplete response 80% (82 patients)Introduction: Kaposi sarcoma (KS) is a cancer of endothelial cells involving the skin and visceral organs. Electrochemotherapy (ECT) is an alternative treatment option for patients with cuta…
ECT
Rullo et al · Cancers (Basel)
2024Clinical StudyHuman–19–bleomycin · intravenouscomplete response 63.2% (19 patients)Electrochemotherapy (ECT) is one of the newest therapeutic strategies employed as a medical procedure for skin neoplasms' treatment, especially for classic Kaposi's sarcoma (CKS). The aim of…
ECT
Pfefferle et al · J Dtsch Dermatol Ges
2022Clinical StudyHumanMuscle Contraction and Anaesthesia Requirement1ePOREbleomycin · intravenoustumour volume change 0 cm³ (1 patients)This publication has no abstract.
ECT
Borgognoni et al · Anticancer Res
2020Clinical StudyHuman–68 / 699Cliniporatorbleomycin · intravenousobjective response 89.7%Background: We aimed to verify the clinical efficacy and safety of the electrochemotherapy in melanoma metastases and in cases of rare non-melanoma tumors that were difficult to treat for th…
ECT
Starita et al · Infect Agent Cancer
2017Clinical StudyHuman–27–bleomycincomplete response 74.1% (27 patients)Background: Electrochemotherapy (ECT) has shown to be an effective treatment for cutaneous and subcutaneous Kaposi sarcoma (KS) lesions. However, no study has investigated the impact of ECT …
ECT
Di Monta et al · Eur J Surg Oncol
2014Clinical StudyHuman–19Cliniporatorbleomycin · intravenouscomplete response 73.6% (19 patients)Background: Electrochemotherapy (ECT) is a novel modality for the treatment of skin nodules and cutaneous or subcutaneous tumors that allows delivery of low and non-permeant drug into cells.…
ECT
Latini et al · Dermatol Ther
2012Clinical StudyHumanIncreased Intracellular Bleomycin Accumulation18Cliniporatorbleomycin · intravenouscomplete response 16 count (18 patients)The present prospective study was aimed at evaluating the long-term efficacy of local electrochemotherapy (ECT) with the intravenous administration of bleomycin, on disease progression and v…
ECT
Curatolo et al · Ann Surg Oncol
2011Clinical StudyHumanPotentiation of Cytotoxic Drug Permeability23 / 532–bleomycin · intravenouscomplete response 60.9% (23 patients)Background: Electrochemotherapy (ECT) is an emerging treatment for cutaneous lesions of different tumor types. The combination of chemotherapy and electroporation enhances drug uptake into t…
ECT
Lalanda et al · Int J Dermatol
2022Retrospective Clinical StudyHuman–14–– · intravenouscomplete response 92.8% (14 patients)Background and objectives: Kaposi's sarcoma (KS) is a locally aggressive mesenchymal tumor that involves the lymphovascular system, with a tendency to become multifocal. Electrochemotherapy …
ECT
Savoia et al · COSCI
2022Retrospective Clinical StudyHumanReversible Membrane Permeabilisation9 / 766Cliniporatorbleomycin · intravenouscomplete response 77.8% (9 patients)Background: Kaposi's sarcoma (KS) is a tumor of endothelial derivation, which primarily affects the skin and is mainly related to the type 8 Human Herpesvirus (HHV8). Its onset is favored by…
ECT
Rullo et al · –
2024Case Series––19–bleomycin · intravenouscomplete response 12 count (19 patients)Electrochemotherapy (ECT) is one of the newest therapeutic strategies employed as medical procedure for skin neoplasms’ treatment, especially for Classic Kaposi’s Sarcoma (CKS). The aim of t…
Other EP
Brambilla et al · J Cutan Med Surg
2023Case SeriesHuman–31–––Background: occasional case reports have described the appearance of Kaposi's sarcoma (KS) on previously unaffected skin after incidental or accidental injury, but the association is probabl…
ECT
Niccolò et al · Anticancer Drugs
2023Case ReportHumanIncreased Intracellular Bleomycin Accumulation1–bleomycin · intravenouscomplete response 1 count (1 patients)An elderly female patient with a long-standing history of Kaposi's sarcoma of the lower limbs was referred to the Surgical Department after the subsequential failure of multiple lines of sys…
ECT
Pfefferle et al · J Eur Acad Dermatol Venereol
2022Case ReportHumanIncreased Intracellular Bleomycin Accumulation, Electrode Geometry and Placement1ePOREbleomycin · intravenous–, Electrochemotherapy (ECT) is becoming increasingly important in the treatment of cutaneous and subcutaneous tumours of various entities in the palliative setting. Using needle electrodes o…
ECT
Gualdi et al · J Eur Acad Dermatol Venereol
2010Case ReportHuman–1 / 3–bleomycin · intratumouralcomplete response 100% (3 lesions)LETTERS TO THE EDITOR 239 Figure 1 Annular and erythematous papules localized on the tibial region (a) and complete resolution of the granuloma annulare lesions after only 2 weeks of topiram…
ECT
Curatolo et al · Dermatol Surg
2008Case ReportHuman–1Cliniporatorbleomycin · intravenouscomplete response 1 count (1 patients)[No abstract available]
ECT
Garbay et al · European Journal of Cancer Supplements
2006Case ReportHuman–1 / 11–bleomycin · intravenouscomplete response 100% (11 lesions)Most of the tumours treated by electrochemotherapy are cutaneous malignant melanoma nodules, breast cancer recurrences, or basal cell carcinomas.1–4 However, the bases of the electrochemothe…
ECT
Ferioli et al · Mol Clin Oncol
2021Systematic Review / Meta-AnalysisLiterature Analysis–68–bleomycin · intravenouscomplete response 65% (23 patients)Kaposi sarcoma (KS) is a rare angioproliferative disorder, which is usually associated with human herpesvirus-8 infection. Electrochemotherapy (ECT) may be an option in the treatment of KS s…
Other EP
Lebbe et al · Eur J Cancer
2019Guideline / ConsensusHuman–––bleomycin · intravenouscomplete response 65%Kaposi's sarcoma (KS) is a multifocal neoplasm of lymphatic endothelium-derived cells infected with human herpesvirus 8. Four clinical subtypes are distinguished: the classic, the endemic, t…
ECT
Reinhold · Anticancer Drugs
2011ReviewAnimal (In Vivo)Potentiation of Cytotoxic Drug Permeability––bleomycin · intravenousobjective response 85% (171 lesions)Electrochemotherapy is an effective local tumor ablation modality in the treatment of solid cancers. Its use combines the administration of nonpermeable or poorly permeable highly intrinsic …
ECT
Marone et al · European Journal of Surgical Oncology (EJSO)
2013Animal StudyAnimal (In Vivo)Necrosis and Necroptosis19––complete response 14 ratio (19 patients)Treatment of recurrent pelvic tumours involving the abdominal wall is extremely challenging and should include extensive resections with planned reconstructions. Failure of wound healing is …
ECT
Curatolo et al · J Cutan Med Surg
2020Editorial / LetterHuman–––bleomycin · intravenouscomplete response 60%This publication has no abstract.
ECT
Quaglino et al · Eur J Surg Oncol
2025Correction / Erratum––––––European Journal of Surgical Oncology 51 (2025) 110187 Contents lists available at ScienceDirect European Journal of Surgical Oncology journal homepage: www.ejso.com Corrigendum to “Electroc…
ECT
Chlebopaseviene ve Satkauskas · Health Sciences
2021Not reported––1–bleomycin–Chemoterapija yra standartizuotas vėžio gydymas vienu ar keliais vaistais, naikinančiais navikines ląsteles ar stabdančiais jų augimą. Chemoterapijos galimybės dar labiau padidėja, taikant j…

Limitations

Publication volume is not clinical efficacy or evidence quality. It describes how much literature exists in the area and of what kind; it does not indicate how strongly the treatment is supported, guideline endorsement or regulatory status.

Patient totals are not a count of unique patients. The same cohort may have been reported in more than one publication; the totals are not a meta-analysis.

How the corpus was assembled, the tier thresholds, the definition of a clinical publication and why methods are counted separately: Literature Map.