Usefulness of technetium-99m-meth-oxyisobutylisonitrile imaging and intraoperative staining technique using methylene blue for localization: Two cases of hyperfunctioning parathyroid lesions.:TWO CASES OF HYPERFUNCTIONING PARATHYROID LESIONS
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概要
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Two patients with primary hyperparathyroidism in whom it was difficult to search the location of abnormal parathyroid tissues are presented. Both patients, 35-year-old woman and 49-year-old man, had experienced several episodes of urolithiasis. A right lower (the former case) or right upper (the latter) parathyroid tumor was suspected by ultrasonography, but <SUP>201</SUP>Tl-Cl and <SUP>99m</SUP>Tc-pertechnetate subtraction scintigraphy (TTSS) demonstrated no abnormal accumulation in the thyroid bed or mediastinum. At operation, no abnormal parathyroid gland was found in both patients. <SUP>99m</SUP>Tc-methoxyisobutylisonitrile scintigraphy revealed the presence of elusive parathyroid lesion in the mediastinum or at the lower position of the left thyroid lobe. At reoperation, intraoperative staining with methylene blue was useful to find out the lesions in both patients. The histological diagnosis was hyperplasia of the parathyroid in both. The normal calcium level was obtained promptly after the removal of these tissues.
- 北関東医学会の論文
著者
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Horiguchi Jun
Second Department Of Surgery Gunma University Faculty Of Medicine
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Maemura Michio
Second Department Of Surgery Gunma University School Of Medicine
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Ishida Tsunehiro
Department Of Public Health Tohoku University Graduate School Of Medicine
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Yokoe Takao
Department Of Emergency And Critical Care Medicine Faculty Of Medicine Gunma University
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Takei Hiroyuki
Second Department Of Surgery Gunma University School Of Medicine
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Iino Yuichi
Department Of Biophysics And Biochemistry Graduate School Of Science University Of Tokyo
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Horii Yoshio
Second Department Of Surgery
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Inoue Tomio
Department Of Cardiology Kanto-teishin Hospital
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Takei Hiroyuki
Second Department Of Internal Medicine Nippon Medical School
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Morishita Yasuo
Second Department Of Surgery
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Oriuchi Noboru
Department Of Diagnostic Medicine And Nuclear Medicine Gunma University Graduate School Of Medicine
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Endo Keigo
Department Of Diagnostic And Interventional Radiology Gunma University Hospital
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ORIUCHI Noboru
Department of Nuclear Medicine, Gunma University School of Medicine
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Koibuchi Yukio
Second Department of Surgery Gunma University School of Medicine
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