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Superior sulcus tumour — SCE Respiratory MCQ

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HardLung CancerSuperior sulcus tumourSCE Respiratory

An NHS severe-asthma MDT proposes bronchial thermoplasty after confirming diagnosis, adherence and modifiable traits. The patient asks whether it is routine standard therapy with established long-term efficacy. Which governance statement is correct?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Use requires special arrangements for governance, explicit consent and audit or research

Explanation lettering: B = shown as A · A = shown as B · D = shown as C · E = shown as D · C = shown as E

C is correct. NICE finds no major short-term safety concern and evidence of improved quality of life and fewer exacerbations, but long-term safety and efficacy remain limited. Bronchial thermoplasty should therefore be used with special arrangements for clinical governance, consent, and audit or research by an experienced multidisciplinary service. It is neither prohibited nor ordinary first-line therapy. The patient must receive clear written information about uncertainties, and outcomes and adverse events should be recorded rather than assuming prior steroid toxicity removes the consent requirement.

Reference: https://www.nice.org.uk/guidance/htg494