Combined Treatment for Pulmonary Aspergilloma

Aiming to assess the efficacy of a combined medical-surgical appro­ach in the treatment of pulmonary aspergilloma, the records of 7 pa­tients (4 males, 3 females) who had been admitted to our hospital with this diagnosis between April 2000 and July 2003 were evalu­ated retrospectively. Four patients had combined medical-surgical treatment, 2 patients had only medical treatment and 1 patient had only surgical treatment. One patient who was on medical therapy died, but this patient also had problems in the application of this treatment. Based on our experience, we recommend surgical resection combi­ned with postoperative antifungal therapy for the treatment of pul­monary aspergilloma. We also propose starting initially the medical therapy especially in patients with debility, and reduced pulmonary function. Medical therapy should be the only therapeutic approach if the patients have contraindications for surgery.