[Endobronchial aspergillosis associated with a carcinoid tumor].
We report a case of a 62 year old man who presented with effort dyspnoea accompanied by a cough and haemoptysis. The chest radiograph of the thorax showed atelectasis of the right upper lobe. Bronchoscopy showed evidence of a tumour like mass obstructing the right bronchus and this revealed itself to be a mass of organised fibrinous deposit in granulation tissue containing numerous colonies of Aspergillus. In fact it appeared to be an obstructive Aspergillus bronchitis, with a pseudo-tumour appearance attached to a carcinoid tumour which was obstructing the apical segment of the right upper lobe. Obstructive Aspergillus bronchitis makes up only a small percentage of overall respiratory disease caused by Aspergillus. They pose a problem of differential diagnosis with bronchopulmonary aspergillosis which is much more frequent.
Quoix
E
E
Pavillon Laënnec, CHRU Strasbourg.
Gasser
B
B
Apprill
M
M
Gourdon
C
C
Pauli
G
G
Roegel
E
E
D001228:Aspergillosis / Q000150:complications* / Q000175:diagnosis; D001229:Aspergillosis, Allergic Bronchopulmonary / Q000175:diagnosis; D001982:Bronchial Diseases / Q000150:complications* / Q000175:diagnosis; D001984:Bronchial Neoplasms / Q000150:complications*; D002276:Carcinoid Tumor / Q000150:complications*; D003937:Diagnosis, Differential; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged
Aspergillose endobronchique greffée sur une tumeur carcinoïde.