A 43-year-old female was diagnosed with an adenocarcinoma of the ascending colon...In order to use an anti-EGFR monoclonal antibody (panitumumab)-containing second-line regimen, it was decided to assess EGFR immunohistochemical expression and K-ras gene mutational status...A never-reported K-ras mutation (CAG>TAG) determining a premature stop signal at codon 22 (Gln22Stop) was found...The patient, however, was found to be unresponsive to an anti-EGFR MAb treatment.