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1 Department of Diseases of Chest, Lisbon University Hospital
The tumor-like form of aspergillosis ("aspergilloma") is at the present time, the most frequent mycotic infection of the lungs to be found in Portugal.
The various stages of pulmonary "aspergilloma," from the initial phases to the "calcified aspergilloma," and some less known forms, are described.
From the clinical point of view, hemoptysis is by far the most frequent symptom, but the diagnosis remains radiologic. Besides the classic "bell-like" image, other aspects are presented such as different types of lobar and segmental densities, calcifications within cavities, etc.
Based on a series of 110 determinations in patients suspected of having "aspergilloma" or with chronic pulmonary disease, the importance of the precipitin test in the diagnosis of this condition is stressed.
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