Skill Checkup: A 53-Year-Old Woman With Dry Cough and a Lung Lesion

John C. Leighton Jr, MD, FACP


September 01, 2022

This patient should undergo genetic biomarker testing. The National Comprehensive Cancer Network (NCCN) guidelines recommend genetic testing of all likely adenocarcinomas of the lung. Furthermore, the College of American Pathologists/International Association for the Study of Lung Cancer/Association for Molecular Pathology Clinical Practice guidelines contain detailed recommendations about the target population (all patients with lung adenocarcinoma regardless of clinical indicators such as smoking status, race, or sex), the recommended testing approaches, and a recommended turnaround time of less than 14 days.


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