Biopsy-proven pleural lesion of sarcoidosis using video-assisted thoracic surgery

Key Points

• The aim is to showcase the effectiveness of video-assisted thoracic surgery in diagnosing pleural lesions of sarcoidosis.
• Case report from a 40-year-old female with persistent cough and chest CT findings.
• Performed video-assisted thoracic surgery (VATS) for lung biopsy.
• Histological examination revealed numerous epithelioid cell granulomas.
• CT and VATS findings were non-specific, showing only small nodules.
• Final diagnosis of sarcoidosis was made based on pathology and negative acid-fast bacilli culture.
• VATS is illustrated as useful for definitive diagnosis in pleural sarcoidosis.