1995 Volume 9 Issue 2 Pages 129-134
We analyzed the diagnostic procedures, treatment and postoperative complication in three patients treated for pulmonary aspergillosis between 1976 and 1993. Fungus balls were found in two patients and a localized mass with pneumonia-like infiltration in the chest X-ray of the third patient. Hyphae were found preoperatively in two patients, an air meniscus sign was seen in the chest X-ray of the third, so we suspected pulmonary aspergillosis. Two patients with pulmonary aspergilloma did well without postoperative complications. One patient developed a postoperative bronchopleural fistula which responded to conservative treatment, but pulmonary aspergillosis recurred after 19 months later. We concluded that lobectomy is a reasonable operative procedure rather than segmentectomy for pulmonary aspergilloma, on the basis of pathohistological findings, if the function of the residual lung is adequate.
