CT-GUIDED PERCUTANEOUS TREATMENT OF INOPE RABLE PULMONARY ASPERGILLOMAS - A STUDY OF 42 CASES

The authors report 42 cases of symptomatic pulmonary aspergilloma trea ted by intracavitary percutaneous injections of Amphotericine paste. T hese patients were not considered as operable. The aspergillomas compl icated tuberculosis sequels and pulmonary fibrosis. Surgery was contra indicated in these patients on account of severe respiratory failure. The authors specify the technique for the preparation of the paste and for the type of percutaneous injection under CT guidance; the aim bei ng to obtain complete filling of the cavity and creating an <<anaerobi c>> environment for the aspergillus. The contribution of this techniqu e for the non-surgical treatment of patients appears interesting but s hould be carried on a larger series to identify the exact indications and the interaction with other treatments (drugs and surgery).