Sampling pleural nodules with an EBUS scope: A novel application
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Updated: Feb 8, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Michael Kassirer1, Jonathan Wiesen1, Karine Atlan2
1Pulmonology Institute, Department of Internal Medicine, Soroka University Medical Center, Ben-Gurion University, Beer-Sheva, Israel.
Abstract:
Convex endobronchial ultrasound transbronchial needle aspiration (C-EBUS-TBNA) has become an essential modality for diagnosis and staging of hilar, mediastinal, and central pulmonary lesions. A Trans-thoracic pleural biopsy is the accepted practice for diagnosing pleural nodules. However, the diagnostic yield of a pleural biopsy is limited and surgical procedures pose a greater risk. We report a unique case of using a C- EBUS scope for the diagnosis of pleural nodules and mediastinal lymph node metastasis in a man with metastatic renal cell carcinoma.
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