Demirtaş Hakan, Çelik Ahmet Orhan, Kayan Mustafa, Umul Ayşe, Döngel İsa
Radiology Department, Süleyman Demirel University, Isparta, Turkey.
Chest Surgery Department, Süleyman Demirel University, Isparta, Turkey.
Med Arch. 2016 Feb;70(1):76-8. doi: 10.5455/medarh.2016.70.76-78. Epub 2016 Jan 31.
Aspergilloma is a fungal ball which is composed of hyphal structure fungus, fibrin, mucus and cellular debris and settled in a pre-existing pulmonary cavity or an ectatic bronchial. It may cause colonization in patients with an immunosuppressive and underlying lung disease. Although chest radiography provides valuable information, it can be scanned more effectively by computed tomography (CT). Monitoring fungal ball within the cavity in CT provides establishing the diagnosis.
However, in this case report, we presented a case with operated laryngeal carcinoma whom we first had considered to have metastasis and who had received a diagnosis of aspergilloma in CT and Positron emission tomography (PET).
Imaging findings may remain limited in definitive diagnosis of aspergilloma. Therefore, surgical resection will allow for both pathological diagnosis and treatment.
曲菌球是一种真菌球，由菌丝结构真菌、纤维蛋白、黏液和细胞碎片组成，沉积于先前存在的肺空洞或扩张的支气管内。它可能在免疫抑制和潜在肺部疾病患者中定植。虽然胸部X线摄影提供了有价值的信息，但计算机断层扫描（CT）能更有效地进行扫描。在CT中监测空洞内的真菌球有助于确诊。
然而，在本病例报告中，我们呈现了一例接受过喉癌手术的患者，我们最初认为其有转移，而该患者在CT和正电子发射断层扫描（PET）中被诊断为曲菌球。
影像学表现对于曲菌球的明确诊断可能仍有局限性。因此，手术切除既能实现病理诊断又能进行治疗。
