“…There are several techniques available for sampling lymph nodes, such as conventional transbronchial needle aspiration (c-TBNA), computed tomography-guided transthoracic needle aspiration (CT-guided TNAB), ENB (Electromagnetic Navigation Bronchoscopy), transesophageal ultrasound-guided fine-needle aspiration (EUS-FNA), and mediastinoscopy [1][2][3][4][5] . These techniques have certain disadvantages, such as the low possibility of obtaining a sample in lesions smaller than 2 cm with bind puncture, problems with gaining access to central mediastinal locations by a percutaneous approach, the non-availability of techniques like ENB in our environment, the limited access to certain lymph stations by EUS-FNA and mediastinoscopy; in addition, some complications such as pneumothorax, bleeding, air embolization, dysphonia, among others, may occur 5 .…”