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Intracavitary pulmonary aspergilloma: endoscopic aspects.

Lima E, Nagy AL, Athanazio RA - J Bras Pneumol (2015 May-Jun)

View Article: PubMed Central - PubMed

Affiliation: Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, Brazil.

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A CT scan of the chest revealed a thin-walled cavitary lesion in the right upper lobe... Bronchoscopy with transbronchial biopsy confirmed the diagnosis of pulmonary metastasis... A follow-up CT scan of the chest obtained in 2013 revealed an increase in the size of the cavitary lesion, thickening of its walls, and an intracavitary image suggestive of fungus ball... The patient underwent a second bronchoscopy, which showed structural change in the apical segment of the right upper lobe, with a large cavity containing an extensive, whitish, exophytic, irregular mass... The patient was started on oral antifungal treatment and began outpatient follow-up treatment... In some cases, there can be extensive destruction of the parenchymal architecture, allowing communication with the central airway and enabling endoscopic intracavitary visualization... However, this is an extremely rare finding... In the literature, case reports are limited to patients with endobronchial aspergilloma... Endoscopically, whitish necrotic masses suggest fungal infection... However, the diagnosis should be confirmed via histopathological documentation and positive culture.

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A, CT scan of the chest showing an intracavitary mass suggestive of fungus ball. In B, right upper lobe orifice showing destruction of the architecture of the apical segment. In C and D, a whitish intracavitary mass with areas of necrosis and an endoscopic appearance suggestive of fungal infection.
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f01: A, CT scan of the chest showing an intracavitary mass suggestive of fungus ball. In B, right upper lobe orifice showing destruction of the architecture of the apical segment. In C and D, a whitish intracavitary mass with areas of necrosis and an endoscopic appearance suggestive of fungal infection.


Intracavitary pulmonary aspergilloma: endoscopic aspects.

Lima E, Nagy AL, Athanazio RA - J Bras Pneumol (2015 May-Jun)

A, CT scan of the chest showing an intracavitary mass suggestive of fungus ball. In B, right upper lobe orifice showing destruction of the architecture of the apical segment. In C and D, a whitish intracavitary mass with areas of necrosis and an endoscopic appearance suggestive of fungal infection.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4541766&req=5

f01: A, CT scan of the chest showing an intracavitary mass suggestive of fungus ball. In B, right upper lobe orifice showing destruction of the architecture of the apical segment. In C and D, a whitish intracavitary mass with areas of necrosis and an endoscopic appearance suggestive of fungal infection.

View Article: PubMed Central - PubMed

Affiliation: Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, Brazil.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

A CT scan of the chest revealed a thin-walled cavitary lesion in the right upper lobe... Bronchoscopy with transbronchial biopsy confirmed the diagnosis of pulmonary metastasis... A follow-up CT scan of the chest obtained in 2013 revealed an increase in the size of the cavitary lesion, thickening of its walls, and an intracavitary image suggestive of fungus ball... The patient underwent a second bronchoscopy, which showed structural change in the apical segment of the right upper lobe, with a large cavity containing an extensive, whitish, exophytic, irregular mass... The patient was started on oral antifungal treatment and began outpatient follow-up treatment... In some cases, there can be extensive destruction of the parenchymal architecture, allowing communication with the central airway and enabling endoscopic intracavitary visualization... However, this is an extremely rare finding... In the literature, case reports are limited to patients with endobronchial aspergilloma... Endoscopically, whitish necrotic masses suggest fungal infection... However, the diagnosis should be confirmed via histopathological documentation and positive culture.

Show MeSH
Related in: MedlinePlus