title: Thoracoscopic resection with intraoperative use of methylene blue to localize mediastinal parathyroid adenomas.
abstract: We report a case of thoracoscopic resection of mediastinal parathyroid adenomas using methylene blue to localize the tumors during the operation. After methylene blue 4 mg/kg was injected intravenously, we easily identified methylene blue-stained parathyroid glands and successfully resected them with sufficient surgical margins. The use of methylene blue for detection of parathyroid adenoma is a useful technique.
authors.affiliation: Division of General Thoracic Surgery, Tottori University Hospital, Nishi-cho, Yonago, Tottori, Japan. adachiyo@matsue.hosp.go.jp
authors.forename: Yoshin
authors.initials: Y
authors.lastname: Adachi
authors.forename: Hiroshige
authors.initials: H
authors.lastname: Nakamura
authors.forename: Yuji
authors.initials: Y
authors.lastname: Taniguchi
authors.forename: Ken
authors.initials: K
authors.lastname: Miwa
authors.forename: Shinji
authors.initials: S
authors.lastname: Fujioka
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Haruki
mesh_terms: D000236:Adenoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D000328:Adult; D004396:Coloring Agents / Q000008:administration & dosage; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D008479:Mediastinal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D008751:Methylene Blue / Q000008:administration & dosage; D010282:Parathyroid Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*; D011237:Predictive Value of Tests; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D004396:Coloring Agents; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi; D008751:Methylene Blue