EGFR-mutated advanced LAD patients receiving afatinib (30 mg/d) from January 2017 to November 2021 were retrospectively included....Patients with EGFR 20ins had a significantly poorer PFS compared to patients with other EGFR common and uncommon mutations (2.37 vs. 14.53 vs. 10.39 months, P<0.001) (Figure 1B). Similarly, patients with EGFR 20ins had a remarkably lower ORR (0% vs. 60% vs. 80%, P=0.023) and DCR (75% vs. 100% vs. 100%, P=0.039) compared to patients with common and uncommon EGFR mutations (Table 3).