Surgical treatment of pulmonary aspergilloma.
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.
Published In/Presented At
Soltanzadeh, H., Wychulis, A. R., Sadr, F., Bolanowski, P. J., & Neville, W. E. (1977). Surgical treatment of pulmonary aspergilloma. Annals of surgery, 186(1), 13–16. https://doi.org/10.1097/00000658-197707000-00002
Medicine and Health Sciences
Department of Surgery