[CT-guided percutaneous treatment of inoperable pulmonary aspergilloma. Apropos of 42 cases].
The authors report 42 cases of symptomatic pulmonary aspergilloma treated by intracavitary percutaneous injections of Amphotericine paste. These patients were not considered as operable. The aspergillomas complicated tuberculosis sequels and pulmonary fibrosis. Surgery was contraindicated in these patients on account of severe respiratory failure. The authors specify the technique for the preparation of the paste and for the type of percutaneous injection under CT guidance; the aim being to obtain complete filling of the cavity and creating an "anaerobic" environment for the aspergillus. The contribution of this technique for the non-surgical treatment of patients appears interesting but should be carried on a larger series to identify the exact indications and the interaction with other treatments (drugs and surgery).
Service d'Imagerie Médicale J Baudot, CHU Purpan, Toulouse.
J
J
Giron
N
N
Sans
C
C
Poey
P
P
Fajadet
D
D
Fourcade
J P
JP
Senac
J J
JJ
Railhac
D000368:Aged; D000666:Amphotericin B / Q000008:administration & dosage*; D000935:Antifungal Agents / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D009824:Ointments; D014057:Tomography, X-Ray Computed
D000935:Antifungal Agents; D009824:Ointments; D000666:Amphotericin B
Traitement percutané radiologique des aspergillomes pulmonaires inopérables. A propos de 42 cas.