Lipinski J K, Weisbrod G L, Sanders D E
J Can Assoc Radiol. 1978 Dec;29(4):216-20.
Pulmonary aspergillosis is being diagnosed with increasing frequency, particularly in larger referral centers. The spectrum of lung pathology can be classified into 3 major groups: A) non-invasive mycetoma; B) allergic bronchopulmonary aspergillosis and C) invasive aspergillosis. Five patients with pulmonary aspergillosis are presented, illustrating unusual features of each major group. Transthoracic needle aspiration biopsy was diagnostic in 3 patients. It is important to differentiate a mycetoma developing in a pre-existing cavity from a cavitating Aspergillus abscess. The radiologic appearances may be similar, but evolution of the 2 lesions is entirely different.
肺曲霉病的诊断频率日益增加，尤其是在较大的转诊中心。肺部病理谱可分为三大类：A）非侵袭性曲菌球；B）变应性支气管肺曲霉病；C）侵袭性曲霉病。本文介绍了5例肺曲霉病患者，阐述了各主要类型的不寻常特征。经胸针吸活检对3例患者具有诊断价值。区分在原有空洞内形成的曲菌球与空洞性曲霉脓肿很重要。两者的影像学表现可能相似，但这两种病变的演变完全不同。
