En bloc resection of the upper lobe and segment 6 of the right lung for 2 independent ipsilateral lesions of chronic progressive pulmonary aspergillosis

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  • 同側独立2病変の肺アスペルギローマに対して右上葉および右S6区域同時切除を行った症例

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<p>A 50-year-old male, with a medical history of respiratory non-tuberculous mycobacteriosis (NTM) and allergic bronchopulmonary aspergillosis (ABPA) and treated with 17.5 mg of prednisolone per day, presented with symptoms of a prolonged low-grade fever, cough, and bloody sputum. CT showed two independent lesions of complex aspergilloma on the upper lobe and segment 6 of the right lung. As both of the lesions were refractory to anti-fungal medicine, en bloc resection of the upper lobe and segment 6 was performed, while taking care to avoid dissecting the major fissure to reduce the risk of intrapleural dispersion of fungus or bacteria. The post-operative course was uneventful, and the patient was discharged on the 13th day after surgery.</p>

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