Tumor histopathology revealed the presence of a double tumor; a BRAF V600-mutated T4aN1bM0 papillary thyroid carcinoma...The patient was thereafter included in the DRUP trial and received vemurafenib/cobimetinib combination treatment, targeting the BRAF mutation....After two treatment cycles the first response evaluation, using Response Evaluation Criteria in Solid Tumors (RECIST v1.1), showed a partial response with a decrease of 45% in sum of target lesions.