A 61-year-old Asian man...pulmonary adenocarcinoma harboring an exon 19 deletion in the epidermal growth factor receptor (EGFR) gene….In January 2021, samples from the left upper lobe were biopsied; there was an exon 19 deletion, no T790M nutation, and PD-L1 TPS 80%...afatinib (40 mg/day) immediately after atezolizumab. The hilar mass markedly diminished 10 days after commencing afatinib (Figure 1(b)). Response has been sustained for more than 12 weeks.