To the Editor:—"
Treatment of Malignant Pleural Effusion by Talc Poudrage," by George J. Haupt and others, in The Journal, Feb. 27, page 918, has caught my attention. I believe that the procedure described is absolutely unnecessary. We now have such adequate chemotherapeutic agents as nitrogen mustard or thio-TEPA which will accomplish the same purpose more effectively. In addition, repeated injections of these drugs will cause far less morbidity and give much better results than any method involving thoracotomy.