Open AccessSurgical Treatment of Pulmonary Aspergilloma
Author(s) -
Hooshang Soltanzadeh,
Adam R. Wychulis,
F Bani Sadr,
Paul J.P. Bolanowski,
William E. Neville
Publication year - 1977
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197707000-00002
Subject(s) - aspergilloma , medicine , pneumonectomy , surgery , aspergillus fumigatus , aspergillosis , segmental resection , pulmonary aspergillosis , resection , wedge resection , medical therapy , mycetoma , lung , immunology
Fourteen patients with aspergilloma (fungus ball) were reviewed. Hemoptysis was the major symptom (93%). Chest roentgenograms disclosed a "fungus ball" in every patient, and the mycelia of Aspergillus fumigatus were recovered from all resected specimens. One of three patients treated by pneumonectomy died post-operatively. A lobectomy was performed in ten patients, and segmental resection in one without mortality or significant morbidity. There has been no evidence of recurrence in a follow up of six months to ten years. On the basis of this experience and a review of the literature, excision of a solitary "fungus ball" is recommended when the diagnosis is made. Non-surgical therapy should be reserved for patients whose general medical status or pulmonary reserved prohibit resection.