His histopathology was reviewed at the hospital and showed Adenocarcinoma Grade III, TTD-1 positive, Synaptophysin Negative….Histopathology showed Metastatic Adenocarcinoma from primary lesion with EGFR mutated at Exon 21 and ALK rearrangement not detected. Patient was offered palliative Radiation 20 Gray in 5 fraction for pain control to pancreatic mass and was offered Erlotinib 150mg once daily. There was significant response to treatment clinically and radiologically. Post 6 months there was no residual disease left.