Incidental Typical Carcinoid — SCE Medical Oncology MCQ

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EasyLung CancerIncidental Typical CarcinoidSCE Medical Oncology

A 62-year-old man with stage IIIA NSCLC undergoes lobectomy. Pathology shows an incidental carcinoid tumour (typical carcinoid, 12 mm, Ki-67 <2%, N0) separate from the primary adenocarcinoma. What is the management of the incidental typical carcinoid?

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Correct answer: C — No additional treatment for the carcinoid

Typical bronchial carcinoid (WHO grade 1 NET, Ki-67 <3%) that is completely resected (R0) with negative lymph nodes has an excellent prognosis (>95% 10-year survival). No adjuvant therapy is indicated. Surveillance imaging is recommended. This patient's oncological decisions should focus on the synchronous adenocarcinoma (which determines the overall prognosis and adjuvant treatment plan). Incidental carcinoids are found in ~0.5-1% of lung resection specimens.

Reference: https://www.nice.org.uk/guidance/conditions-and-diseases/cancer