求助右肺腺癌骨转移初治方案
男，69岁，体重67.5kg，身高169cm从不烟酒，无高血压，糖尿病等基础病，体检发现右肺背段周围型，2.5cm*1.8cm病灶，进一步PE-CT，考虑右肺癌多发骨转移及淋巴结转移，冲刺病理，右肺腺癌.进一步免疫组化及基因检测，目前心肺功能及肝肾功能良好http://oss.yuaigongwu.com/pic/20220509/1652072878314422_189.jpg
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基因检测报告
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这些图像都重复了好几次。现在按照基因检测的结果来说的话，试一试阿法替尼。包括培美曲塞贝伐单抗的化疗方案也要考虑。 谢谢各位，目前已经行培美+卡铂+贝伐3个疗程，唑来膦酸2次，肺部原发灶缩小，骨转移灶进展，而且CEA一直上升，目前为止一直没有骨转移症状，化疗耐受一般，血小板下降明显，一直泼尼松及利可君升血小板，请各位看看是不是骨转移治疗失败，下一步有什么好办法，
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