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Closed pleural biopsy; Needle biopsy of the pleura
There is a slight chance of the needle puncturing the wall of the lung, which can partially collapse the lung. This usually gets better on its own. There is a chance of excessive blood loss.
If a closed pleural biopsy is not enough to make a diagnosis, you may need a surgical biopsy of the pleura.
Broaddus VC, Light RW. Pleural effusion. In: Mason RJ, Murray J, Broaddus VC, Nadel JA. Textbook of Respiratory Medicine. 4th ed. Philadelphia, Pa: WB Saunders; 2005:chap 68.
Ernst A, Silvestri GA, Johnstone D. Interventional pulmonary procedures: guidelines from the American College of Chest Physicians. Chest. 2003;123:1693-1717.
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