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Convex endobronchial ultrasound transbronchial needle aspiration (C-EBUS-TBNA) successfully diagnosed pleural nodules and mediastinal metastasis in a renal cell carcinoma patient. This novel approach offers a less invasive alternative to traditional pleural biopsy for diagnosing thoracic lesions.

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Area of Science:

  • Pulmonology
  • Oncology
  • Interventional Pulmonology

Background:

  • Convex endobronchial ultrasound transbronchial needle aspiration (C-EBUS-TBNA) is standard for mediastinal and hilar lesions.
  • Trans-thoracic pleural biopsy is used for pleural nodules but has limitations.

Observation:

  • A unique case involved using a C-EBUS scope for diagnosing pleural nodules.
  • The patient had metastatic renal cell carcinoma.

Findings:

  • C-EBUS-TBNA enabled diagnosis of pleural nodules.
  • The procedure also identified mediastinal lymph node metastasis.

Implications:

  • C-EBUS-TBNA may offer a less invasive diagnostic option for pleural lesions.
  • This technique could improve diagnostic yield and reduce risks associated with surgical biopsies.