The patient was an 83-year-old male. He was diagnosed with SCC of the lung, and molecular analysis revealed that the tumor was positive for EGFR exon19 deletion. He was treated with osimertinib 80 mg/day….The case was categorized as a progressive disease. The patient died 3 weeks later....Next-generation sequencing showed multiple genetic abnormalities, including TP53 mutation and amplification of CDK6 and KRAS, which have previously been associated with resistance to osimertinib....The current case report shows that next-generation sequencing can explain why osimertinib is ineffective in EGFR-mutated SCC.