Related Experiment Video
Updated: Jul 5, 2026

Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
Published on: November 10, 2014
[A case of endobronchial aspergilloma]
Meltem Ağca1, Sibel Arinç, Aynur Yilmaz
1Süreyyapaşa Gögüs Hastaliklari ve Göğüs Cerrahisi Eğitim ve Araştirma Hastanesi, IV. Göğüs Hastaliklari Kliniği, Istanbul.
Aspergilloma, a fungal mass caused by Aspergillus, can form in the airways. This case highlights endobronchial aspergilloma in a patient with asthma, emphasizing its consideration in lung mass diagnoses.
Area of Science:
- Pulmonology
- Mycology
- Diagnostic Imaging
Background:
- Aspergillus infections manifest diversely in susceptible patients, including invasive aspergillosis, allergic bronchopulmonary aspergillosis, and aspergilloma.
- Endobronchial aspergilloma is a fungal ball within the airways, often presenting with respiratory symptoms.
Observation:
- A 69-year-old female with a 10-year history of controlled bronchial asthma presented with cough and sputum.
- Chest imaging revealed lung infiltration, and bronchoscopy identified a left lower lobe endobronchial mass.
- Pathological examination of biopsy and sputum samples confirmed Aspergillus hyphae, with A. fumigatus isolated from cultures.
Findings:
- The patient was diagnosed with endobronchial aspergilloma.
- Despite diagnosis, the patient declined medical or surgical treatment, leading to failed follow-up.
Implications:
- Aspergilloma should be included in the differential diagnosis for endobronchial mass lesions.
- Early recognition and treatment are crucial for managing Aspergillus-related airway diseases.
Related Concept Videos
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...
The Bronchial Tree
The trachea, commonly known as the windpipe, is a tube that connects the larynx (voice box) to the bronchi. At a point called the carina, it bifurcates into two primary bronchi. The right primary bronchus is wider, shorter, and more vertical than the left primary...
Other Pulmonary Disorders
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
