We identified the following somatic genetic changes in the metastatic tumor: KRAS mutation (A146T), APC (N1455Kfs*2), TP53 (C229Yfs*10), CXCR4 (V160I), TERT amplification, MCL1 amplification and RICTOR amplification. This evidence concerns the gene CXCR4 and metastatic neoplasm.