Tratamento cirúrgico de aspergiloma pulmonar

Abstract

The objective of this study was to analyze the outcome of surgical treatment of pulmonary aspergilloma. To that end, we evaluated 14 adult patients so treated between 1981 and 2009 at the Botucatu School of Medicine University Hospital, in the city of Botucatu, Brazil. Data were collected from the medical records of the patients. Ten patients (71%) presented with simple pulmonary aspergilloma, and 4 (29%) presented with complex pulmonary aspergilloma. Hemoptysis was the most common symptom, and tuberculosis was the most prevalent preexisting lung disease. Two patients (14%) underwent surgery on more than one occasion. There were no intraoperative deaths. Half of the patients developed postoperative complications, prolonged air leak and empyema being the most common.Keywords: Pulmonary aspergillosis; Tuberculosis, pulmonary; Thoracic surgery. ResumoO objetivo deste estudo foi analisar o resultado do tratamento cirúrgico de aspergiloma pulmonar. Para tanto, foram avaliados 14 pacientes adultos (7 homens e 7 mulheres) e tratados no Hospital Universitário da Faculdade de Medicina de Botucatu, em Botucatu (SP), entre 1981 e 2009. Dados foram coletados dos registros médicos dos pacientes. Dez pacientes (71%) apresentaram aspergiloma pulmonar simples, e 4 (29%) apresentaram aspergiloma pulmonar complexo. O sintoma mais frequente foi hemoptise, e a pneumopatia preexistente mais prevalente foi tuberculose. Dois pacientes (14%) foram submetidos a mais de um procedimento cirúrgico. Não houve mortalidade operatória. Metade dos pacientes apresentou complicações pós-operatórias, sendo fuga aérea prolongada e empiema as mais frequentes.

Cavernostomy x Resection for Pulmonary Aspergilloma: A 32-Year History

“…Similar findings have been reported by other investigators [1,2,4,5,7-9,14,23,29,31,32]. However, hemoptysis was more frequent in group 1 than in group 2.…”

“…Other studies also identified tuberculosis as the underlying disease [4,7-9,12,17,21,28,32]. Interestingly, sarcoidosis was not detected in any patient as the underlying disease, in contrast to other reports [2,33].…”

Micetoma sobre cavidad neoformada

“…Los micetomas pulmonares son masas de hongos que resultan de la colonización de las cavidades pulmonares. Están formados por elementos fúngicos vivos o muertos, moco, sangre, células remanentes y células inflamatorias (4).…”