XXXX and aspergilloma. The role of surgery.

@entity1 @entity548 @entity73 @entity3794 @entity4617 @entity177 @entity358 @entity1576 @entity370 @entity204 @entity10070
@entity358 is a common sequel of chronic @entity10070 , and the subsequent development of @entity4617 is frequent, especially in black @entity1 . @entity548 from aspergilloma is second only to @entity177 as the cause of @entity204 in @entity370 . Opinions regarding the role of resectional surgery are conflicting. We report observations on 38 @entity1 with biopsy evidence of antecedent @entity370 and cultural or serologic identification of Aspergillus species as cause of the fungus balls. @entity3794 was bilateral and extensive in most cases, making surgical treatment perilous. Ten @entity1 had moderate @entity73 . Seven had surgical resection with six satisfactory results and one @entity204 . Three @entity1 in this category have not required surgery. Twenty-eight @entity1 had severely compromised pulmonary function. Surgery was performed in seven because of intractable @entity548 ; four survived, but three later died of @entity1576 . Of the 21 in this category not treated by surgery, six survived, four died of @entity548 and 11 of @entity1576 . Of the 37 @entity1 with aspergilloma whose status is known, 19 are dead, 14 survived with positive precipitins and four, all treated surgically, recovered. It is concluded that surgical treatment of aspergilloma in @entity1 with @entity370 should be avoided if possible, but is inescapable in a third of cases.
