An uncommon presentation of Aspergilloma in a forty three year old man who complained of recurrent cough and haemoptysis is pointed out X-ray chest showed a hazy shadow in the 'right upper lobe.
The diagnosis of Aspergilloma was made by the histological examination of the resected lung specimen, presumably removed because of suspicion of carcinoma. The aim of this paper is to emphasize that the shadows in the lung in the middle aged individuals, refractory to anti-biotic therapy, may closely simulate a neoplasm. The suspicion is further reinforced by the fact bronchoscopic examination may be unrewarding in the peripherally situated bronchial carcinomas which comprise 45% of ill the bronchial cancer [Spencer 1977] Thus all lung specimens apparently removed with suspicion of carcinoma, in the presence of negative broncho-scopic findings must be subjected to histological examination to bring out the true nature of the pathological process, which may have a direct bearing on the prognosis
Mohammad Musaffar ,Masood U. Kiyani ,Zulfiqar A. Khan ,
Aspergilloma masquerading as bronchogenic carcinoma: a case report and review,
Pak. Armed Forces Med. J. 1983;
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