The patient began afatinib 30 mg daily while continuing osimertinib 80 mg daily on March 20, 2022. After 2 month, the patient’s respiratory symptoms were significantly relieved, and after 5 months, follow-up CT showed that the patient’s pulmonary mass in the right lower lobe were significantly reduced...The combination therapy of afatinib and osimertinib could be a new therapeutic option for patients with lung adenocarcinoma harboring EGFRG724S/T790M/19Del mutation.