We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Endobronchial Aspergilloma: Report of 10 Cases and Literature Review.
- Authors
Ma, Jeong Eun; Yun, Eun Young; Kim, You Eun; Lee, Gi Dong; Cho, Yu Ji; Jeong, Yi Yeong; Jeon, Kyoung-Nyeo; Jang, In Seok; Kim, Ho Cheol; Lee, Jong Deok; Hwang, Young Sil
- Abstract
Purpose: A retrospective investigation of the clinical and radiologic features as well as the bronchoscopic appearance was carried out in patients with endobronchial aspergilloma. Materials and Methods: Ten patients with endobronchial aspergilloma diagnosed by bronchoscopy and histological examination were identified at the Gyeongsang University Hospital of Korea, from May 2003 to May 2009. Results: The patients included 9 men and 1 woman, and the age of the patients ranged from 36 to 76 (median, 58 years). The associated diseases or conditions were: previous pulmonary tuberculosis in 7 patients, lung cancer in 2 patients, pulmonary resection in 1 patient, and foreign body of the bronchus in 1 patient. The chest radiologic inding showed fibrotic changes as a consequence of previous tuberculosis infection in 6 patients and a mass-like lesion in 2 patients. Two patients had a co-existing fungus ball, and an endobronchial lesion was suspected in only 2 patients on the CT scan. The bronchoscopic appearance was a whitish to yellow necrotic mass causing bronchial obstruction in 7 patients, foreign body with adjacent granulation tissue and whitish necrotic tissue in 1 patient, whitish necrotic tissue at an anastomosis site in 1 patient, and a protruding mass with whitish necrotic tissue in 1 patient. Conclusion: An endobronchial aspergilloma is a rare presentation of pulmonary aspergilosis and is usually incidentally found in immunocompetent patients with underlying lung disease. It usually appears as a necrotic mass causing bronchial obstruction on bronchoscopy and can be confirmed by biopsy.
- Subjects
KOREA; PULMONARY aspergillosis; BRONCHOSCOPY; ASPERGILLOSIS; BIOPSY; UNIVERSITY hospitals; LITERATURE reviews; PATIENTS
- Publication
Yonsei Medical Journal, 2011, Vol 52, Issue 5, p787
- ISSN
0513-5796
- Publication type
Article
- DOI
10.3349/ymj.2011.52.5.787