My Treatment Approach: NSCLC Testing and Management of Complex Cases - Episode 1

My Treatment Approach: NSCLC Testing and Management of Complex Cases

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Two expert oncologists discuss the critical role of comprehensive biomarker testing in non-small cell lung cancer (NSCLC). They emphasize that molecular testing is an essential part of the initial diagnosis, not an optional add-on, as it identifies specific mutations and fusions that dictate the most effective first-line treatment.

Mark Socinski, MD details his institution's approach, which involves two primary testing panels. A rapid 50-gene panel provides results for common, actionable mutations in about seven business days. A more extensive 500-gene panel takes slightly longer but helps identify patients eligible for clinical trials based on rarer genetic alterations. The discussion also notes that other tests, like PD-L1, are often sent to external labs, and plasma-based testing is used. The overarching goal is to use this comprehensive diagnostic information to guide personalized treatment decisions and improve patient management.