A 76-year-old female diagnosed with cholangiocarcinoma underwent four cycles of chemotherapy. The NGS assay showed that the tumor had a FGFR2-BICC1 rearrangement...the patient underwent oral sorafenib treatment in November 2018....According to RECIST, the patient was considered to have a partial response (PR) to sorafenib (Figure 1D)....Up to last follow-up, the disease is stable and the patient is being treated with sorafenib.