21/11/2025
The National Comprehensive Cancer Network (NCCN) released the latest "Clinical Practice Guidelines for Non-Small Cell Lung Cancer (NSCLC) Version 1.2026" on November 6, 2025. Compared to the 8th edition from 2025, it has undergone several significant updates. The new version of the guideline has achieved a "disruptive" update in the field of biomarker testing—from the definition of terms to the scope of testing, from technical paths to clinical linkage, it has comprehensively propelled the precise treatment of lung cancer into a new era of "full-spectrum testing."
For patients, genetic testing is no longer an "optional add-on," but the "key first step" that determines the treatment direction and survival time. For clinicians, the guideline provides a standardized testing path, avoiding treatment delays caused by incomplete testing and inappropriate timing. With the deepening understanding of tumor biology, in the future, genetic testing will not only identify single mutations but also comprehensively assess the molecular characteristics of tumors, including co-mutation situations, tumor heterogeneity, and evolutionary mechanisms, etc. Multidisciplinary collaboration is particularly important in the precise diagnosis and treatment of lung cancer. Facing the increasingly complex and variable biological characteristics of tumors, a single treatment approach is no longer sufficient to meet the challenges. Therefore, future precise treatment will be a cross-disciplinary collaborative effort, forming a more comprehensive and precise treatment system.