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Secondary spontaneous pneumothorax — SCE Respiratory MCQ

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HardPleural DiseaseSecondary spontaneous pneumothoraxSCE Respiratory

A patient with stage IA2 peripheral NSCLC is medically inoperable but has adequate performance status for radical treatment. There is no nodal disease and the lesion is technically suitable for stereotactic treatment. What should be offered?

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Correct answer: C — Stereotactic ablative radiotherapy with curative intent

Explanation lettering: C = shown as B · B = shown as C

B is correct. NICE offers radical radiotherapy with stereotactic ablative radiotherapy to people with stage I–IIA node-negative NSCLC who decline lobectomy or in whom lobectomy is contraindicated, provided anatomy and fitness permit. Medical inoperability does not reduce treatment automatically to palliation or observation. Durvalumab belongs after chemoradiotherapy for unresectable stage III disease, and platinum–etoposide is the small-cell regimen rather than a substitute for histology-directed early NSCLC treatment.

Reference: https://www.nice.org.uk/guidance/ng122/chapter/Management