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Investigation of special clinical presentations

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Investigation of specific clinical presentations

Intrapulmonary nodules without evidence of endobronchial disease

  • offer flexible bronchoscopy with biopsy, brushings and washings to patients presenting with intrapulmonary nodules of probable metastatic origin that are unsuitable for percutaneous biopsy, even in the absence of endobronchial or central nodal disease on imaging
  • offer video-assisted thoracoscopic surgery (VATS) exploration to patients only after a negative bronchoscopic procedure and where percutaneous biopsy is considered inappropriate

Investigation of malignant peritoneal disease

  • obtain a tissue sample for histological examination in patients with MUO who present with ascites, if technically possible

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