A 49-year-old female diagnosed with advanced gastric cancer in July 2019 received...nivolumab, but disease progression was observed on a positron emission tomography/computed tomography scan...Therapy was discontinued, and cfDNA next-generation sequencing was immediately evaluated...The following somatic alterations were detected from the patient’s cfDNA: an APC frameshift mutation (NM_000038.5:c.6579del, p.V2194fs)...an EGFR amplification with a copy number of 17.3, and an EGFR-SEPT14 fusion...