Aspergilloma (gross pathology)

Case contributed by Yale Rosen
Diagnosis certain

Presentation

Recent hemoptysis

Patient Data

Age: 60 years
Gender: Male

Lobectomy

pathology

Section through the lung demonstrating a fungus ball (aspergilloma) occupying and filling an old tuberculous cavity. 

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Case Discussion

This is a good example of an aspergilloma - this is essentially a 'ball' of viable fungus that has colonized and old cystic cavity, in this example and old tuberculous cavity. 

These are chronic lesions, usually with minimal symptoms; this is in stark contrast to invasive aspergillosis which is a rapidly progressive and often fatal disease process seen in immunosuppressed patients   

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