酱爆你的梦 发表于 2024-6-7 14:29:44

#3a期肺腺癌#EGFR20突变

求助:母亲3a期低分化肺腺癌,病理:腺泡型为主(50%),部分为微乳头(40%),部分为乳头型(10%),周围见STAS,脉管内见癌栓,癌组织累及脏层胸膜(PL2),第七组淋巴结见转移。做了基因检测有EGFR20(H773_V774dup),丰度44.52及TP53突变,丰度54.21,咨询了不同医生有3种方案
1:4期化疗(培美曲塞➕铂类药)
2:   4期化疗➕靶向一年半(药物舒沃替尼、艾万妥单抗或伏美替尼倍量)
3:6期化疗
现在已经做了2期化疗了,化疗结束后不知该何去何从,如果吃靶向药的话舒沃替尼和伏美替尼药效上有什么区别呢?治疗方案有哪些合适的呢?这个大病理结果是不是特别容易复发,求大神指点
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