skip to main content

Small-cell lung cancer with brain metastases — SCE Respiratory MCQ

Instant feedback + full explanation. One question, done properly.

ModerateLung CancerSmall-cell lung cancer with brain metastasesSCE Respiratory

A 61-year-old man with stage IV small-cell lung cancer has completed platinum-etoposide with partial response. He has persistent headaches. MRI brain shows multiple metastases. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: D — Discuss brain radiotherapy and systemic/palliative options in the lung cancer MDT

Brain metastases in extensive-stage SCLC after systemic therapy require MDT discussion of brain radiotherapy and systemic or palliative options according to performance status and disease control. Curative lobectomy is not appropriate in stage IV SCLC. EGFR therapy is not a standard SCLC treatment.

Reference: NICE NG122 Lung cancer; NICE brain metastases guidance