The surgical implications of intracavitary mycetomas (fungus balls)

Solit, Robert W.; McKeown, J.J.; Smullens, Stanton N.; Fraimow, William

doi:10.1016/s0022-5223(19)42051-5

Cited by 79 publications

(19 citation statements)

References 20 publications

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“…Bleeding usually occurs from bronchial blood vessels and may be due to local invasion of blood vessels lining the cavity, endotoxins released from the fungus, or mechanical irritation of the exposed vasculature inside the cavity by the rolling fungus ball. 19 Bleeding could originate from intercostal arteries as well. Extension of the mycotic process with parenchymal destruction at the periphery of the lung invading the adjacent chest wall may lead to erosion of the intercostal arteries.…”

Section: Discussionmentioning

confidence: 99%

Pulmonary aspergilloma: Analysis of prognosis in relation to symptoms and treatment

Lee

Park

et al. 2009

The Journal of Thoracic and Cardiovascular Surgery

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Our results indicate that (1) early morbidity and mortality rates of surgical treatment for pulmonary aspergilloma are acceptable, and (2) surgical treatment is helpful not only to reduce symptoms but also to prolong the survival of patients with pulmonary aspergilloma. Although more studies are needed, our data support the conclusion that surgical resection should be considered for all patients with pulmonary aspergilloma who have acceptable pulmonary reserve.

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Section: Discussionmentioning

confidence: 99%

Pulmonary aspergilloma: Analysis of prognosis in relation to symptoms and treatment

Lee

Park

et al. 2009

The Journal of Thoracic and Cardiovascular Surgery

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“…Surgery is recommendedwhen patients with pulmonary aspergilloma develop hemoptysis although manypatients are usually unsuitable for such surgery due to old age or ventilatory impairment (9). Surgery could not be performed in the present patient due to poor pulmonary function.…”

Section: Discussionmentioning

confidence: 90%

Aspergillus fumigatus Isolated from Blood Samples of a Patient with Pulmonary Aspergilloma after Embolization.

et al. 2000

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Aspergillus DNAwas detected by PCR in the serum sample of a 78-year-old man and galactomannan antigen ofAspergillus by sandwich ELISA was found. However, the infiltrative hyphae were not detected by the histopathologic examination of the lung. He developed hemoptysis, which required embolization of bronchial arteries. Aspergillus fumigatus was isolated from blood samples after embolization by the lysis centrifugation method. To our knowledge, this is probably the first case in which Aspergillus spp. has been isolated from the systemic circulatory blood in a patient with pulmonary aspergilloma after embolization.

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“…Meanwhile, the following are cited from the literature as possible causes of lung cancer development in an emphysematous cystic wall (16)(17)(18): (I) scars of the cystic wall due to repeated infection; (II) squamous metaplasia of the epithelium constituting the cystic wall; and (III) insufficient ventilation in the cystic wall causes stagnation of various carcinogens. Radiological differentiation between a cancer nodule in the cavity and a fungus ball-mycetoma is relatively straightforward because of the characteristic fungus balllike appearance of pulmonary aspergillosis (19). In addition, the mobility of a fungus ball with a change in the patient's position helps in the diagnosis (14).…”

Section: Discussionmentioning

confidence: 99%