The most effective therapy is surgical removal of the growth. If life-threatening bleeding occurs, emergency surgery may be the only option.
In some cases, angiography (injection of dye into the blood vessels) may be used to locate the site of bleeding, which can allow the physician to stop it. Occasionally, antifungal medications such as itraconazole and amphotericin B can be used. Sometimes these antifungals are added if complete surgical removal is not possible, or if the Aspergillus infection has expanded beyond the aspergilloma.
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