[Pulmonary Aspergilloma: Indications for Surgery and Surgical Techniques].
Aspergillus species may infect preexisting lung cavities and cause pulmonary aspergillomas, which may lead to life-threatening haemoptysis. The objective of this review article is to summarise current strategies for the management of pulmonary aspergillomas. Symptomatic aspergillomas should be treated surgically, with lobectomy being the treatment of choice. Minimally-invasive approaches may be appropriate in selected cases. The role of perioperative antifungal therapy in immunocompetent patients remains controversial. Antimycotic treatment and embolisation of bronchial arteries may be useful treatment options for inoperable patients.
Klinik für Thoraxchirurgie, Helios Klinikum Wuppertal, Klinikum der Privatuniversität Witten/Herdecke, Wuppertal, Deutschland.
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S
Bölükbas
Division of Pulmonary, Critical Care and Occupational Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, United States.
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M
Eberlein
D000935:Antifungal Agents / Q000627:therapeutic use; D001999:Bronchoscopy; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D006801:Humans; D011013:Pneumonectomy / Q000379:methods*; D055732:Pulmonary Aspergillosis / Q000175:diagnosis / Q000601:surgery*
D000935:Antifungal Agents