Clinical and imaging features on CT-Scaner of Aspergilloma on thoracic plombage procedure

Objectives: To review some clinical features and lesions in computed tomography imaging of patients with aspergilloma had conducted Plombage procedure. Subjects and methods: Prospective study on 92 haemoptysis patients with Aspergilloma performed by Plombage surgery, review some clinical features and lesions in computed tomography imaging at the Department of Thoracic Surgery, Pham Ngoc Thach Hospital from November 2011 to November 2017. | Journal of military pharmaco-medicine no8-2018 CLINICAL AND IMAGING FEATURES ON CT-SCANER OF ASPERGILLOMA ON THORACIC PLOMBAGE PROCEDURE Le Tien Dung1; Nguyen Cong Minh2; Pham Vinh Quang3 Nguyen Van Nam3; Le Viet Anh3 SUMMARY Objectives: To review some clinical features and lesions in computed tomography imaging of patients with aspergilloma had conducted Plombage procedure. Subjects and methods: Prospective study on 92 haemoptysis patients with Aspergilloma performed by Plombage surgery, review some clinical features and lesions in computed tomography imaging at the Department of Thoracic Surgery, Pham Ngoc Thach Hospital from November 2011 to November 2017. Results: Tuberculosis and haemoptysis were the most ( and 100%). 100% of Aspergilloma position was on the upper lobe. Fungus ball in cavity was and 100% of Aspergilloma type II. Conclusions: Computed tomography has an important role in the identification of lesions, diagnosis and indications for surgery. * Keywords: Aspergilloma; Plombage surgery; Computed tomography. INTRODUCTION Aspergillus was first reported by Virchow in 1856. The most frequently noticed fungal infections are Aspergilloma due to haemoptysis, sometimes heavy haemoptysis, which can lead to death. About 17% of Aspergilloma grows in tuberculosis cavity. The most of procedure of treatment of Aspergilloma is surgery, the indication of surgery based on the characteritics of lesions of Aspergilloma. Most authors believe that computed tomography (CT) is a basic test to determine the diagnosis and to decide how to perform surgery, especially in Plombage surgery for haemoptysis due to Aspergilloma. In the world, there are many authors who have studied this problem, but in Vietnam, there are few publications, especially about features of Aspergilloma that have indicated Plombage surgery on CT. Therefore, we conducted study with the purpose: A review of some clinical features and lesions in CT imaging of patients with Aspergilloma has .

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