Kopp W, Fotter R, Ebner F, Beaufort F, Stammberger H
Eur J Radiol. 1986 Aug;6(3):178-80.
A retrospective radiographic study was performed on 142 proven cases of Aspergillosis in the paranasal sinuses. In all but two cases the mycosis was unilateral and in all cases the maxillary sinus was infected. A common radiographic presentation was a homogeneous opacity of the infected maxillary sinus, while about 50% of the cases showed nonspecific infectious changes of other paranasal sinuses additionally. Earlier stages of the disease showed an intraluminal soft tissue mass, representing the mycelium conglomerate. Bone destruction due to Aspergillosis could not be proven. 58% of the cases presented with intraluminal structures of metallic density. Histochemical studies proved these to consist mainly of tertiary Calciumphosphate. These concrements are considered to be pathognomonic of Aspergillosis.
对142例经证实的鼻窦曲霉菌病病例进行了回顾性影像学研究。除两例病例外，所有病例的真菌病均为单侧，且所有病例的上颌窦均受到感染。常见的影像学表现为受感染的上颌窦均匀性混浊，约50%的病例还表现出其他鼻窦的非特异性感染性改变。疾病早期表现为腔内软组织肿块，代表菌丝团块。曲霉菌病导致的骨质破坏无法得到证实。58%的病例呈现出金属密度的腔内结构。组织化学研究证明这些主要由磷酸三钙组成。这些凝结物被认为是曲霉菌病的特征性表现。
