J.Jpn. Surg. Soc.. 105(12): 737-741, 2004

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Feature topic

SURGICAL TREATMENT FOR PULMONARY MYCOSIS

Although most human mycosis develops in immunocompromised patients as an opportunistic infection, its frequency will be influenced by historical changes in diseases and by progress in medical technology.
An example of local occurrence is pulmonary aspergilloma in an open negative cavity, and a systemic example is the onset of invasive pulmonary aspergillosis in neutropenic patients with hematologic malignancies.
Surgical candidates for mycotic lung disease are usually patients who do not improve with medical treatment. The author also stresses the prophylactic indications for prevention of unexpected impairment due to mycotic lung disease.
The usefulness of surgery for pulmonary fungal infection has gradually been recognized. Additional efforts should be made by surgeons to achieve better outcomes and to minimize operative complications by choosing the appropriate surgical technique.

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