Question

A 68-year-old man with a significant smoking history presents with persistent cough and weight loss. Chest X-ray shows a 4cm mass in the right upper lobe. Which investigation is most appropriate for initial staging and assessing suitability for curative treatment?

Accepted Answer

PET-CT scan

Answer

Bronchoscopy with biopsy

Answer

CT-guided transthoracic needle aspiration (TTNA)

Answer

Endobronchial ultrasound (EBUS)

Answer

Spirometry and DLCO

Practice question

A 68-year-old man with a significant smoking history presents with persistent cough and weight loss. Chest X-ray shows a 4cm mass in the right upper lobe. Which investigation is most appropriate for initial staging and assessing suitability for curative treatment?