求助各位大神老师
2020年10月份确诊，肺腺癌4期，骨转移，19突变，11月服用阿发替呢至22年二月份，癌胚抗升高，腰疼，ct,缓慢增大，穿刺基因检测T790m突变，丰度1.1，三月份改服奥西替呢至7月底，ct一直缓慢增长，从新穿刺基因检测报告如下，肯请各位老师指导下步该怎么办http://oss.yuaigongwu.com/pic/20220808/165997289369287_35.jpg
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正规三甲医院卖的塞沃替呢三盒另十一粒转
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