Endobronchial Aspergilloma: Report of 10 Cases and Literature Review
Open Access
- 1 January 2011
- journal article
- case report
- Published by Yonsei University College of Medicine in Yonsei Medical Journal
- Vol. 52 (5), 787-792
- https://doi.org/10.3349/ymj.2011.52.5.787
Abstract
A retrospective investigation of the clinical and radiologic features as well as the bronchoscopic appearance was carried out in patients with endobronchial aspergilloma. 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. 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 finding 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. 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.Keywords
This publication has 25 references indexed in Scilit:
- Surgery for Pulmonary Aspergilloma in Immunocompetent Patients: No Benefit From Adjuvant Antifungal PharmacotherapyThe Annals of Thoracic Surgery, 2010
- Bronchiale AspergillosenPneumologie, 2010
- Endobronchial Aspergilloma in a 30-year-old ManJournal of Bronchology, 2007
- Pulmonary aspergillosis: a clinical updateQJM: An International Journal of Medicine, 2007
- A Case of Lung Cancer Obscured by Endobronchial AspergillomaTuberculosis and Respiratory Diseases, 2006
- A Case of Endobronchial AspergillomaTuberculosis and Respiratory Diseases, 2006
- Pulmonary AspergillomaJournal of Bronchology, 2003
- Three cases of bronchial stump aspergillosis: unusual clinical presentations and beneficial effect of oral itraconazoleEuropean Respiratory Journal, 1995
- Endoscopic Visualization of AspergillomaRespiration, 1991
- Thoracic manifestations of aspergillosisAmerican Journal of Roentgenology, 1980