Photodynamic detection of a feline meningioma using 5-aminolaevulinic acid hydrochloride

Autor: Tomohiro Osaki, Kengo Gonda, Yusuke Murahata, Yuji Sunden, Takao Amaha, Narumi Kunisue, Kiwamu Takahashi, Masahiro Ishizuka, Tohru Tanaka, Liming Li, Inoru Yokoe, Masamichi Yamashita, Kazuo Azuma, Takeshi Tsuka, Norihiko Ito, Tomohiro Imagawa, Yoshiharu Okamoto
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Feline Medicine and Surgery Open Reports, Vol 6 (2020)
Druh dokumentu: article
ISSN: 2055-1169
20551169
DOI: 10.1177/2055116920907429
Popis: Case summary The present study describes the case of a feline meningioma that was detected using 5-aminolaevulinic acid hydrochloride (5-ALA)-induced protoporphyrin IX (PpIX) fluorescence at surgery. An extra-axial mass in the temporoparietal region was observed by MRI. Following craniectomy and durotomy, photodynamic detection (PDD) was performed for detection of the tumour. Intratumour PpIX was detected using fluorescence spectrum evaluation and high-performance liquid chromatography. PDD revealed bright fluorescence of PpIX induced by 5-ALA, facilitating fluorescence-guided resection of the tumour tissue. Postoperative examination demonstrated an intratumour PpIX protein concentration of 16.8 nmol/g, and based on histopathological findings we diagnosed the mass as meningioma. Relevance and novel information PDD using 5-ALA has been used to identify the surgical margins during resection of primary human brain tumours. Recently, we have reported post-mortem PDD using 5-ALA for a canine glioblastoma. To our knowledge, this technique has not been previously used for the detection and resection of feline brain tumours. Our findings suggest that PDD using 5-ALA is useful for intraoperative fluorescence-guided resection of malignant meningioma in cats.
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