• 제목/요약/키워드: Endobronchial aspergilloma

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기관지내 아스페르길루스종 1예 (A Case of Endobronchial Aspergilloma)

  • 김순종;이응준;이태훈;유광하;이계영
    • Tuberculosis and Respiratory Diseases
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    • 제61권1호
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    • pp.60-64
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    • 2006
  • Pulmonary aspergillosis presents as the following three different types depending on the immune status of the host: invasive aspergillosis, allergic bronchopulmonary aspergillosis (ABPA), and aspergilloma. Aspergilloma develops as a result of an aspergillus growth inside a pre-existing lung cavity. However, endobronchial aspergilloma without a lung parenchymal lesion is quite rare. We encountered a case of endobronchial aspergilloma that developed in a healthy 75 year-old woman that led to necrotizing pneumonia of the right lower lobe. The chief complaints were fever, cough and yellowish sputum. The chest film revealed haziness with cavity-like shadows on the right lower lobe, and the chest CT scan showed endobronchial calcified density in the basal bronchus of the right lower lobe with peribronchial lymph node enlargement. Bronchoscopy revealed an obstruction of the basal orifice of the right lower lobe by blackish stone-like material, and the aspergilloma was confirmed by the bronchoscopic biopsy. The pneumonia improved after bronchoscopic removal of this lesion. We report this case along with a review of the relevant literature.

대량 객혈을 보인 기관지내 아스페르길루스종 1례 (A case of endobronchial aspergilloma with massive hemoptysis)

  • 김태훈;배준용;김양기;이영목;김기업;어수택;김용훈;박춘식;황정화;김동원
    • Tuberculosis and Respiratory Diseases
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    • 제57권6호
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    • pp.589-593
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    • 2004
  • Aspergillus fumigatus causes a variety clinical syndrome in lung including aspergilloma, chronic necrotizing aspergillosis, invasive pulmonary aspergillosis, and allergic bronchopulmonary aspergillosis. Aspergilloma develops by a colonization and growing of Aspergillus inside lung cavities with underlying lung disease. There is a few report of endobronchial aspergilloma without lung parenchymal lesion. We experienced a case of endobronchial aspergilloma did not fit any category of Aspergillus-induced lesion, who show minimal fibrostreaky denstities on chest PA and chest CT. Massive hemoptysis was improved by a removal of the aspergilloma in this patient. Here, we report a rare case of endobronchial aspergilloma showing massive hemoptysis with review of literatures.

A Case of Endobronchial Aspergilloma Associated with Foreign Body in Immunocompetent Patient without Underlying Lung Disease

  • Jung, Seung Won;Kim, Moo Woong;Cho, Soo Kyung;Kim, Hyun Uk;Lee, Dong Cheol;Yoon, Byeong Kab;Jeong, Jong Pil;Ko, Young Choon
    • Tuberculosis and Respiratory Diseases
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    • 제74권5호
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    • pp.231-234
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    • 2013
  • Aspergillus causes a variety of clinical syndromes in the lung including tracheobronchial aspergillosis, invasive aspergillosis, chronic necrotizing pulmonary aspergillosis, allergic bronchopulmonary aspergillosis, and aspergilloma. Aspergilloma usually results from ingrowths of colonized Aspergillus in damaged bronchial tree, pulmonary cyst or cavities of patients with underlying lung diseases. There are a few reports on endobronchial aspergilloma without underlying pulmonary lesion. We have experienced a case of endobronchial aspergilloma associated with foreign body developed in an immunocompetent patient without underlying lung diseases. A 59-year-old man is being hospitalized with recurring hemoptysis for 5 months. X-ray and computed tomography scans of chest showed a nodular opacity in superior segment of left lower lobe. Fiberoptic bronchoscopy revealed an irregular, mass-like, brownish material which totally obstructed the sub-segmental bronchus and a foreign body in superior segmental bronchus of the lower left lobe. Histopathologic examinations of biopsy specimen revealed fungal hyphae, characteristic of Aspergillus species.

기관지내 아스페르길루스종으로 오인된 폐암 1예 (A Case of Lung Cancer Obscured by Endobronchial Aspergilloma)

  • 함현석;이승준;조유지;정이영;전경녀;김호철;이종덕;황영실
    • Tuberculosis and Respiratory Diseases
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    • 제61권2호
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    • pp.157-161
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    • 2006
  • 저자들은 종괴와 폐허탈로 내원한 환자에서 기관지내시경을 이용한 조직검사에서 기관지내 아스페르길루스종으로 진단되어 치료하였으나 종괴의 크기가 증가하여 시행한 경피적 폐생검을 통해 악성 폐종양으로 진단된 예를 경험하여 보고하는 바이다.

경피적 공동내 Amphotericin B 주입술에 의한 폐국균종 치험 1예 (A Case of Percutaneous Intracavitary Amphotericin B Instillation for the Treatment of Hemoptysis due to Pulmonary Aspergilloma)

  • 이홍렬;조흥근;김세규;장준;김성규;이원영;최규옥
    • Tuberculosis and Respiratory Diseases
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    • 제39권2호
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    • pp.180-185
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    • 1992
  • The most common symptom associated with an pulmonary aspergilloma is hemoptysis, with estimates of frequency ranging from 50 to 85 percent of patients. Hemoptysis may be infrequent and minimal in amount or it may be severe with a fatal outcome. The major options available for the treatment of pulmonary aspergilloma include sugical resection of the lesion, a number of medical therapies, or simple observation of the patient for a time. Surgery is the treatment of choice but it is not feasible in some patients who have diffuse or advanced pulmonary disease that makes them poor candidates for thoracotomy. As an alternative to it, some categories of therapy including bronchial artery embolization and parenteral or endobronchial administration of antifungal drugs were tried without remarkable success. But percutaneous instillation of intracavitary amphotericin B for symptomatic aspergilloma has been reported with better result. The authors present a case of percutaneous intracavitary instillation of amphotericin B for the treatment of pulmonary aspergilloma and its successful result for the repetitive hemoptysis.

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고립성 폐 결절 형태로 나타난 기관지 내 국균종 1예 (A Case of Endobronchial Aspergilloma Presented by Solitary Pulmonary Nodule)

  • 이기만;김성진;홍종면
    • Journal of Chest Surgery
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    • 제39권8호
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    • pp.648-651
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    • 2006
  • 53세 여자가 내원 4일 전부터 심해지는 객혈을 주소로 내원하였다. 흉부 X-선상 우상엽에 고립성 폐결절이 보였고, 흉부 컴퓨터 단층 촬영상 우상엽 후분절 기관지를 막고 있는 결절을 보였다. 기관지 내시경적 검사로 우상엽 후분절 기관지를 완전히 막고 있는 부스러지기 쉬운 황색과 갈색의 진흙 같은 덩어리가 보였고 생검 병리학적 검사로 국균종으로 진단되었다. 환자는 지속되는 객혈로 인해 우상엽 및 우중엽 절제술을 시행하였다. 기관-기관지 국균증은 면역기능이 정상인의 경우에는 아주 드물게 나타나는 형태의 국균증이기에 우리나라 문헌에서 보고된 기관지 내 국균증의 고찰과 함께 비교하여 본 증례를 보고하는 바이다.

기관지 폐쇄를 일으켜 폐암으로 오인한 기관지내 아스페르길루스증 1예 (A Case of Endobronchial Aspergillosis Completely Obstructing Lobar Bronchus)

  • 박병조;김영기;김한수;김이형;이향이;강홍모;최천웅;유지홍;박명재
    • Tuberculosis and Respiratory Diseases
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    • 제59권3호
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    • pp.311-314
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    • 2005
  • 저자들은 좌상엽 기관지를 막아 종양을 형성하여 폐암으로 오인된 기관지내 아스페르길루스증 1예를 경험하였기에 보고하는 바이다.