Pulmonary Aspergilloma in a Cavity Formed After Percutaneous Radiofrequency Ablation
We report two cases of pulmonary aspergilloma (PA) in a cavity formed after percutaneous radiofrequency ablation (PRFA), a rare complication that has only been described once in the literature. The first patient was a 59-year-old white woman treated for a secondary lung nodule of an advanced hepatoc...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2014-04, Vol.37 (2), p.537-540 |
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| creator | Alberti, N. Frulio, N. Trillaud, H. Jougon, J. Jullie, M.-L. Palussiere, J. |
| description | We report two cases of pulmonary aspergilloma (PA) in a cavity formed after percutaneous radiofrequency ablation (PRFA), a rare complication that has only been described once in the literature. The first patient was a 59-year-old white woman treated for a secondary lung nodule of an advanced hepatocellular carcinoma. One month after PRFA, a consolidation of a cavity was noticed with an “air crescent sign,” and aspergilloma serology was highly positive. A bisegmentectomy was performed due to the proximity of the lesion to mediastinal vessels and the absence of significant regression after antifungal treatment. Histological examination confirmed the diagnosis of PA. The second patient was a 61-year-old white man followed-up for a non-small-cell lung cancer. A cavitation with thick margins in the ablation zone was noticed 6 months after PRFA. A biopsy was performed, and aspergilloma was diagnosed. Medical treatment with itraconazole was administered for 13 months, and there was significant regression. |
| doi_str_mv | 10.1007/s00270-013-0631-1 |
| format | Article |
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The first patient was a 59-year-old white woman treated for a secondary lung nodule of an advanced hepatocellular carcinoma. One month after PRFA, a consolidation of a cavity was noticed with an “air crescent sign,” and aspergilloma serology was highly positive. A bisegmentectomy was performed due to the proximity of the lesion to mediastinal vessels and the absence of significant regression after antifungal treatment. Histological examination confirmed the diagnosis of PA. The second patient was a 61-year-old white man followed-up for a non-small-cell lung cancer. A cavitation with thick margins in the ablation zone was noticed 6 months after PRFA. A biopsy was performed, and aspergilloma was diagnosed. Medical treatment with itraconazole was administered for 13 months, and there was significant regression.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-013-0631-1</identifier><identifier>PMID: 23636252</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Antifungal Agents - therapeutic use ; Biopsy, Needle ; Cardiology ; Case Report ; Catheter Ablation - adverse effects ; Catheter Ablation - methods ; Female ; Follow-Up Studies ; Humans ; Imaging ; Immunohistochemistry ; Itraconazole - therapeutic use ; Lung Neoplasms - pathology ; Lung Neoplasms - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; Pneumonectomy - methods ; Pulmonary Aspergillosis - diagnosis ; Pulmonary Aspergillosis - etiology ; Pulmonary Aspergillosis - therapy ; Radiology ; Rare Diseases ; Sampling Studies ; Tomography, X-Ray Computed - methods ; Treatment Outcome ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2014-04, Vol.37 (2), p.537-540</ispartof><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013</rights><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-c3b30f685d72e04306711457afe7b763e5c32b3b02d5cbf9085667c9a7fc8ca03</citedby><cites>FETCH-LOGICAL-c471t-c3b30f685d72e04306711457afe7b763e5c32b3b02d5cbf9085667c9a7fc8ca03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-013-0631-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-013-0631-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23636252$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alberti, N.</creatorcontrib><creatorcontrib>Frulio, N.</creatorcontrib><creatorcontrib>Trillaud, H.</creatorcontrib><creatorcontrib>Jougon, J.</creatorcontrib><creatorcontrib>Jullie, M.-L.</creatorcontrib><creatorcontrib>Palussiere, J.</creatorcontrib><title>Pulmonary Aspergilloma in a Cavity Formed After Percutaneous Radiofrequency Ablation</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>We report two cases of pulmonary aspergilloma (PA) in a cavity formed after percutaneous radiofrequency ablation (PRFA), a rare complication that has only been described once in the literature. The first patient was a 59-year-old white woman treated for a secondary lung nodule of an advanced hepatocellular carcinoma. One month after PRFA, a consolidation of a cavity was noticed with an “air crescent sign,” and aspergilloma serology was highly positive. A bisegmentectomy was performed due to the proximity of the lesion to mediastinal vessels and the absence of significant regression after antifungal treatment. Histological examination confirmed the diagnosis of PA. The second patient was a 61-year-old white man followed-up for a non-small-cell lung cancer. A cavitation with thick margins in the ablation zone was noticed 6 months after PRFA. A biopsy was performed, and aspergilloma was diagnosed. Medical treatment with itraconazole was administered for 13 months, and there was significant regression.</description><subject>Antifungal Agents - therapeutic use</subject><subject>Biopsy, Needle</subject><subject>Cardiology</subject><subject>Case Report</subject><subject>Catheter Ablation - adverse effects</subject><subject>Catheter Ablation - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Imaging</subject><subject>Immunohistochemistry</subject><subject>Itraconazole - therapeutic use</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>Pneumonectomy - methods</subject><subject>Pulmonary Aspergillosis - diagnosis</subject><subject>Pulmonary Aspergillosis - etiology</subject><subject>Pulmonary Aspergillosis - therapy</subject><subject>Radiology</subject><subject>Rare Diseases</subject><subject>Sampling Studies</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkU9LwzAYh4Mobk4_gBcpePFSfd-kSbrjGE4FQREFbyHNUqm0zUxaYd_ezE4RQfCUQ5739_55CDlGOEcAeREAqIQUkKUgGKa4Q8aYMZpCLp53yRhQZilyjiNyEMIrAPKc8n0yokwwQTkdk8f7vm5cq_06mYWV9S9VXbtGJ1Wb6GSu36tunSycb-wymZWd9cm99abvdGtdH5IHvaxc6e1bb1sTE4pad5VrD8leqetgj7bvhDwtLh_n1-nt3dXNfHabmkxilxpWMChFzpeSWsgYCImYcalLKwspmOWG0YIVQJfcFOUUci6ENFMtS5MbDWxCzobclXdxhNCppgrG1vUwnkKOlDGgufwHClJOOcvziJ7-Ql9d79u4yCeFGWTZpjcOlPEuBG9LtfJVE--oENTGjhrsqGhHbewojDUn2-S-iBf9rvjSEQE6ACF-tS_W_2j9Z-oHSg-Ykw</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Alberti, N.</creator><creator>Frulio, N.</creator><creator>Trillaud, H.</creator><creator>Jougon, J.</creator><creator>Jullie, M.-L.</creator><creator>Palussiere, J.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>M7N</scope></search><sort><creationdate>20140401</creationdate><title>Pulmonary Aspergilloma in a Cavity Formed After Percutaneous Radiofrequency Ablation</title><author>Alberti, N. ; Frulio, N. ; Trillaud, H. ; Jougon, J. ; Jullie, M.-L. ; Palussiere, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-c3b30f685d72e04306711457afe7b763e5c32b3b02d5cbf9085667c9a7fc8ca03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Antifungal Agents - therapeutic use</topic><topic>Biopsy, Needle</topic><topic>Cardiology</topic><topic>Case Report</topic><topic>Catheter Ablation - adverse effects</topic><topic>Catheter Ablation - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Imaging</topic><topic>Immunohistochemistry</topic><topic>Itraconazole - therapeutic use</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>Pneumonectomy - methods</topic><topic>Pulmonary Aspergillosis - diagnosis</topic><topic>Pulmonary Aspergillosis - etiology</topic><topic>Pulmonary Aspergillosis - therapy</topic><topic>Radiology</topic><topic>Rare Diseases</topic><topic>Sampling Studies</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alberti, N.</creatorcontrib><creatorcontrib>Frulio, N.</creatorcontrib><creatorcontrib>Trillaud, H.</creatorcontrib><creatorcontrib>Jougon, J.</creatorcontrib><creatorcontrib>Jullie, M.-L.</creatorcontrib><creatorcontrib>Palussiere, J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alberti, N.</au><au>Frulio, N.</au><au>Trillaud, H.</au><au>Jougon, J.</au><au>Jullie, M.-L.</au><au>Palussiere, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pulmonary Aspergilloma in a Cavity Formed After Percutaneous Radiofrequency Ablation</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>37</volume><issue>2</issue><spage>537</spage><epage>540</epage><pages>537-540</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>We report two cases of pulmonary aspergilloma (PA) in a cavity formed after percutaneous radiofrequency ablation (PRFA), a rare complication that has only been described once in the literature. The first patient was a 59-year-old white woman treated for a secondary lung nodule of an advanced hepatocellular carcinoma. One month after PRFA, a consolidation of a cavity was noticed with an “air crescent sign,” and aspergilloma serology was highly positive. A bisegmentectomy was performed due to the proximity of the lesion to mediastinal vessels and the absence of significant regression after antifungal treatment. Histological examination confirmed the diagnosis of PA. The second patient was a 61-year-old white man followed-up for a non-small-cell lung cancer. A cavitation with thick margins in the ablation zone was noticed 6 months after PRFA. A biopsy was performed, and aspergilloma was diagnosed. Medical treatment with itraconazole was administered for 13 months, and there was significant regression.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>23636252</pmid><doi>10.1007/s00270-013-0631-1</doi><tpages>4</tpages></addata></record> |
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| ispartof | Cardiovascular and interventional radiology, 2014-04, Vol.37 (2), p.537-540 |
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| subjects | Antifungal Agents - therapeutic use Biopsy, Needle Cardiology Case Report Catheter Ablation - adverse effects Catheter Ablation - methods Female Follow-Up Studies Humans Imaging Immunohistochemistry Itraconazole - therapeutic use Lung Neoplasms - pathology Lung Neoplasms - surgery Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine Pneumonectomy - methods Pulmonary Aspergillosis - diagnosis Pulmonary Aspergillosis - etiology Pulmonary Aspergillosis - therapy Radiology Rare Diseases Sampling Studies Tomography, X-Ray Computed - methods Treatment Outcome Ultrasound |
| title | Pulmonary Aspergilloma in a Cavity Formed After Percutaneous Radiofrequency Ablation |
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