Evidence map›Paper›PMID 39516955›Full record

ArticleGeneral thoracic and cardiovascular surgery cases2023

Identification of micro-recurrent lesions using methylene blue for mediastinal ectopic parathyroid adenoma: a case report.

Shunsuke Nomura, Hideki Ujiie, Aki Fujiwara-Kuroda, Kichizo Kaga, Masato Aragaki, Jun Muto, Ryohei Chiba, Gaku Yamazaki, Kento Wakabayashi, Yoshihiro Matsuno and 1 more

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Article in General thoracic and cardiovascular surgery cases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Shunsuke NomuraDepartment of Thoracic Surgery, Hokkaido University Hospital, N14W5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Hideki UjiieDepartment of Thoracic Surgery, Hokkaido University Hospital, N14W5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Aki Fujiwara-KurodaDepartment of Thoracic Surgery, Hokkaido University Hospital, N14W5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Kichizo KagaDepartment of Thoracic Surgery, Hokkaido University Hospital, N14W5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Masato AragakiDepartment of Thoracic Surgery, Hokkaido University Hospital, N14W5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Jun MutoDepartment of Thoracic Surgery, Hokkaido University Hospital, N14W5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Ryohei ChibaDepartment of Thoracic Surgery, Hokkaido University Hospital, N14W5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Gaku YamazakiDepartment of Thoracic Surgery, Hokkaido University Hospital, N14W5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Kento WakabayashiDepartment of Surgical Pathology, Hokkaido University Hospital, N14W5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Yoshihiro MatsunoDepartment of Surgical Pathology, Hokkaido University Hospital, N14W5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan.
Tatsuya KatoDepartment of Thoracic Surgery, Hokkaido University Hospital, N14W5, Kita-Ku, Sapporo, Hokkaido, 060-8648, Japan. katotatu7@msn.com.ORCID http://orcid.org/0000-0003-4063-0042

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMediastinal ectopic parathyroid adenomas are rare, and several methods are used to diagnose and localize them preoperatively. Technetium-99m methoxy isobutyl isonitrile scintigraphy has been used to diagnose parathyroid tumors. However, it is difficult to identify tumors buried in adipose tissue during surgery. CASE PRESENTATION: We report a case in which methylene blue effectively identified small recurrent lesions in a mediastinal ectopic parathyroid adenoma. After intravenous injection of methylene blue prior to surgery, the stained parathyroid adenoma was easily identifiable. Additionally, we identified other small recurrent lesions that could not be confirmed on preoperative imaging using real-time in vivo imaging guidance during surgery. Using this strategy, complete macroscopic resection can be performed during video-assisted thoracic surgery.

conclusionPreoperative intravenous methylene blue injection is useful for identifying small recurrent lesions, even in cases of mediastinal ectopic parathyroid adenoma with suspected recurrence.

Indexed as

Mediastinal parathyroid adenomaMethylene blueRecurrenceVideo-assisted thoracoscopic surgery

Identifiers

PMID39516955
PMCPMC11533702

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