RESUMO
Intraoperative staining of parathyroid glands with methylene blue was used in 120 cervical explorations for hyperparathyroidism. The dye clearly stained 66 of 67 adenomas (98%) and 194 of 198 hyperplastic glands (98%). No recurrences were observed in 66 patients undergoing surgery for an adenoma. Six of 48 patients (12%) had recurrences of hyperplasia of the parathyroid glands. We found methylene blue to be an effective, safe, and easy applicable method to quickly identify abnormal parathyroid glands, thereby considerably shortening the operating time.
Assuntos
Hiperparatireoidismo/patologia , Hiperparatireoidismo/cirurgia , Azul de Metileno , Glândulas Paratireoides/patologia , Adenoma/complicações , Adenoma/patologia , Adenoma/cirurgia , Diagnóstico Diferencial , Humanos , Hiperparatireoidismo/etiologia , Hiperplasia/cirurgia , Infusões Intravenosas , Período Intraoperatório , Neoplasias das Paratireoides/complicações , Neoplasias das Paratireoides/patologia , Neoplasias das Paratireoides/cirurgia , Recidiva , Estudos Retrospectivos , Coloração e RotulagemRESUMO
Angiosarcoma of the heart is a rare and highly malignant tumour. Most of the reported cases have been diagnosed post mortem. In a one year period two cases were diagnosed during life and surgically treated. The only possible hope for survival is early diagnosis and surgical removal. Our cases illustrate the contribution of cardiac imaging techniques to early diagnosis and the feasibility of radical excision of this tumour.
