A 72-year-old, non-smoking female was diagnosed with a stage III lung adenocarcinoma...An exon 20 HER2 mutation (p.Tyr772_Ala775dup; Fig. 1) was found in the tumor DNA extracted from the original diagnostic biopsy...Treatment with afatinib (50 mg/day)...positron emission tomography-CT (PET-CT) imaging showed a radiological partial response (PR) and a metabolic complete response that was maintained for 3 months.