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Non-Small Cell Lung Cancer, Version 4.2026, NCCN Clinical Practice Guidelines In Oncology

Riely, Gregory J.; Wood, Douglas E.; Aisner, Dara L.; Axtell, Andrea L.; Bauman, Jessica R.; Bharat, Ankit; Chang, Joe Y.; Desai, Aakash; Dilling, Thomas J.; Dowell, Jonathan; Durm, Gregory A.; Gettinger, Scott; Grotz, Travis E.; Gubens, Matthew A.; Juloori, Aditya; Lackner, Rudy P.; Lanuti, Michael; Levy, Benjamin; Lin, Jules; Loo, Billy W., Jr.; Lovly, Christine M.; Maldonado, Fabien; Morgensztern, Daniel; Mullikin, Trey C.; Ng, Thomas; Owen, Dawn; Owen, Dwight H.; Patil, Tejas; Polanco, Patricio M.; Riess, Jonathan; Mendez, Ana Lucia Ruano; Shapiro, Theresa A.; Singh, Aditi P.; Stevenson, James; Tam, Alda; Tanvetyanon, Tawee; Yanagawa, Jane; Yau, Edwin; Yun, Karen; Gregory, Kristina; Hang, Lisa (2026).Ìý.ÌýJournal of the National Comprehensive Cancer Network, 24(4).Ìý

°Õ³ó±ðÌýNCCN Clinical Practice Guidelines in OncologyÌý´Ú´Ç°ùÌýnon-small cell lung cancer (NSCLC) provide evidence-based recommendations to help doctors manage this common type of lung cancer. These guidelines cover the full course of care, including how the disease is diagnosed, treated initially, monitored over time (surveillance), and managed if it progresses. In this update, the expert panel has revised the list of recommended targeted therapies—treatments designed to specifically attack cancer cells with certain genetic features—based on the latest approvals from the U.S. Food and Drug Administration (FDA) and new clinical research findings. This section of the guidelines focuses on patients with advanced or metastatic NSCLC (cancer that has spread beyond the lungs) whose tumors have actionable biomarkers, meaning identifiable genetic mutations or molecular traits that can be matched with specific targeted treatments to improve outcomes.

Figure 1.

NSCL-19. NCCN Clinical Practice Guidelines in Oncology for Non–Small Cell Lung Cancer, Version 4.2026.

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