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Typical bronchial carcinoid — SCE Respiratory MCQ

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HardLung CancerTypical bronchial carcinoidSCE Respiratory

A 44-year-old woman has recurrent pneumonia in the same right lower-lobe segment. CT shows an enhancing endobronchial lesion; bronchoscopy biopsy shows typical carcinoid with low mitotic rate. No nodal or distant disease is found. What is the most appropriate management?

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Correct answer: A — Surgical resection with lung-sparing intent where feasible

Localised typical bronchial carcinoid is usually managed by surgical resection, ideally preserving lung tissue where anatomically feasible. Platinum-etoposide is not curative standard therapy for typical carcinoid. Antibiotics may treat post-obstructive infection but do not treat the tumour.

Reference: ENETS Lung Carcinoid guidance; NICE NG122 principles