What is the role of a medical thoracoscopy (pleuroscopy) in the workup of idiopathic pleural effusion?

Updated: Apr 18, 2019
  • Author: Rajiv Malhotra, DO, MS, FCCP; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
  • Print
Answer

Answer

Idiopathic pleural effusions that have been sampled by thoracentesis are ideal for medical thoracoscopy. The direct visualization of the pleura allows for site-directed biopsy of abnormal parietal pleura. Additionally, it allows for examination of the visceral pleura and any clues that may provide towards the diagnosis of the pleural effusion. Currently, most interventional pulmonologists limit biopsy to the parietal pleura due to the risk of injury to the lung when sampling the visceral pleura


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!