In this case report, we describe a 69-year-old female who received right lobectomy and was diagnosed with pathological stage IIIA lung adenocarcinoma harboring EGFR L858R....A novel vesicular overexpressed in cancer pro-survival protein 1 (VOPP1)-EGFR fusion gene coexistent with T790M were identified by next-generation sequencing...the patient was switched to osimertinib treatment, which resulted in a progression-free survival interval of more than 11 months... the present case increases the evidence supporting use of osimertinib for treatment of NSCLC patients harboring EGFR fusion.