腐生性肺アスペルギロ-マの菌球形成--胸部X線像ならびに組織像よりみた問題点

概要

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A study on serial chest X-ray films of twelve patients with saprophytic, aspergilloma during lastseven years revealed the following findings:<BR>1. Among total twelve cases, four patients had multiple aspergillomas, and eight had solitary.<BR>2. There were two cases with multiple aspergillomas which were detected one after another intheir serial chest X-ray films.<BR>3. Histological findings revealed conglomerated aspergillus hyphae in neighboring bronchi andbronchioles. Successive appearance of aspergillomas on chest roentgenogram and conglomeratedaspergillus hyphae in the airways suggested the possible bronchogenic spread of the disease.<BR>4. Starting from thickening of cavity wall, then followed by falling off of inner layers of cavity, fusion of dropped out mass, irregular fungus ball, and finally round fungus ball with smooth surface, were typical process of fungus ball formation.
一般社団法人日本結核病学会の論文