A paradigmatic case of a poor responder patient with a clear molecular heterogeneity is shown in Figure 1 (panels B-C) where an EGFR deletion in exon 19 in an area of the lesion presenting a well-differentiated adenocarcinoma (panels B-2 and C-3) is associated with a concomitant TP53 mutation (R248W) in a more dedifferentiated area (panels B-1 and C-3); both mutations were confirmed by Sanger Sequencing (Figure 1, Panel C-4). This evidence concerns the gene TP53 and adenocarcinoma.