...49-year-old Caucasian, non-smoking woman was diagnosed with stage IV right upper-lobe lung adenocarcinoma…Additional genomic analysis revealed an insertional duplication (p.Gly778_Pro780dup) in exon 20 of the HER2 gene…Within 2 weeks of starting afatinib (50 mg/day), the patient had a rapid clinical and symptomatic response, with disappearance of all disease-related symptoms, as well as overall SD with a radiological response in liver and pleura, which was maintained for 3 months.