Abstract
A 60 year old male with a long standing history of smoking was referred to our department for surgery of aspergilloma in right upper lung lobe diagnosed by computed tomography and confirmed by computed tomography guided needle aspiration biopsy. A lobectomy was performed. Histological study of the surgical specimen revealed a pulmonary adenocarcinoma associated with aspergilloma. By presenting this case we suggest that every case of pulmonary aspergillome should be examined for malignancies, especially in smokers.
Highlights
A 60 year old male with a long standing history of smoking was referred to our department for surgery of aspergilloma in right upper lung lobe diagnosed by computed tomography and confirmed by computed tomography guided needle aspiration biopsy
Pulmonary aspergilloma (PA), or intracavitary fungus ball, is commonly found in cavities such as those seen in cases of sequelar tuberculosis, bronchiectasis, lung cyst and abscess, bullae, pulmonary infarcts, cystic fibrosis, histoplasmosis, sarcoidosis, HIV infection and cavitated squamous cell lung cancer [2]
It is typically caused by Aspergillus fumigatus, other species may be associated with its formation, usually in the upper lung fields
Summary
Chest radiography revealed a cavitary lesion with “air crescent sign” characteristic of an intracavitary mycetoma (Figure 1), and on CT, there was a cavitary lesion on horseback on the segments of the right upper lung lobe, with a central heterogeneous rounded density, changing position with the patient’s movements evoking an aspergilloma (Figure 2). * Correspondence: smct71@yahoo.fr 1Department of thoracic surgery, Hassan II University Hospital of Fez, Morocco Full list of author information is available at the end of the article antifungal serum antibodies were non reactive.
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