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Locally advanced NSCLC — SCE Respiratory MCQ

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HardLung CancerLocally advanced NSCLCSCE Respiratory

A fit patient has a completely resectable simple aspergilloma in a localised cavity and recurrent clinically significant haemoptysis. Lung function is adequate. Which definitive option should be discussed?

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Correct answer: C — Surgical resection in an experienced thoracic centre

Recurrent significant haemoptysis from a localised aspergilloma in a patient with adequate reserve is a major indication to consider surgical resection, balanced against operative risk in an experienced centre. Bronchial-artery embolisation may control acute bleeding or bridge to surgery but does not remove the lesion.

Reference: BTS Clinical Statement on Aspergillus-related chronic pulmonary disease (Published May 2025): https://www.brit-thoracic.org.uk/document-library/clinical-statements/aspergillus-related-chronic-pulmonary-disease/aspergillus-related-chronic-pulmonary-disease/; BTS Clinical Statement on Aspergillus-related chronic lung disease (Published 2025): https://thorax.bmj.com/content/80/Suppl_1/3