[A case of expanding pulmonary aspergilloma].

Nihon Kyobu Shikkan Gakkai zasshi Pub Date : 1997-12-01
Y Nakagawa, K Shimazu, M Ebihara, K Aman
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引用次数: 0

Abstract

A 60-year-old female had old pulmonary tuberculosis. Chest radiographs taken in 1980 revealed a small cavitary lesion due to old lung tuberculosis in the right upper lung fields. Chest radiographs taken in 1984 revealed a fungus ball in the cavity and the adjacent pleura was thickened. Chest radiographs taken in 1994, revealed that the margin of the fungus ball had become ill-defined, and infiltrative shadows surrounded the cavity. A test for aspergillus antigen was positive and toxicolor test was elevated in serum. Chest radiographs taken in 1996 revealed that the fungus ball had enlarged substantially. We consider this case to be a semi-invasive pulmonary aspergillosis which spread by direct invasion from an aspergilloma to the surrounding cavitary wall.

[扩张性肺曲菌瘤1例]。
60岁女性,陈旧性肺结核。1980年的胸片显示右上肺野有一个小的空洞性病变,是由陈旧性肺结核引起的。1984年拍摄的胸片显示腔内有真菌球,邻近胸膜增厚。1994年拍的胸片显示,真菌球的边缘模糊不清,空洞周围有浸润性阴影。曲霉抗原试验阳性,血清毒色试验升高。1996年拍的胸片显示真菌球已经明显增大。我们认为此病例为半侵袭性肺曲菌病,由曲菌瘤直接侵袭周围腔壁而扩散。
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