Management of Aspergilloma

Author: Amro Wafi, MD
Institution: University of Cincinnati
Date Reviewed: 2024
Original Case: Robert M. Van Haren, MD, MSPH
Learning Domain: General Thoracic
Learning Objective: Pulmonary aspergillosis, cavitary aspergillosis, aspergilloma
PowerPoint File: Management of Aspergilloma

Teaching Points

• Pulmonary aspergillosis can be acute/chronic and present as nodules, cavities, and fibrosis
• Patients with aspergilloma who are symptomatic, such as hemoptysis, surgical resection is indicated
  • Tissue to buttress bronchial stump
  • Continue antifungal agents after surgery
• Embolization is an option, especially if not a candidate for surgery
• Cavitary aspergillosis is usually treated with prolonged antifungal therapy (Voriconazole, micafungin, or amphotericin B)