Hemoptysis in Surgery — 63yo Man | General Surgery | SMLE Q#17940

SMLE Question #17940

Surgery General Surgery

Objective: OBJ-TRACH-EMERG-01

Last updated: February 2026
A 63-year-old man presents with hemoptysis and 5-kg unintentional weight loss over 2 months. He has a 30 pack-year smoking history. Chest X-ray shows a 5-cm irregular right upper lobe mass. Bronchoscopy shows an endobronchial lesion; biopsy shows non-small cell lung carcinoma. Whole-body FDG-PET shows no distant metastases. He is being evaluated for curative surgical resection. What is the most appropriate next step in preoperative evaluation?

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