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29 June 2023: Articles

Endometrial Adenocarcinoma with Discordant Microsatellite Stability Status Treated with First-Line Pembrolizumab: A Case Report and Narrative Review

Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare coexistence of disease or pathology

Christopher R. Grant A* , Elaine J. Chiao E , Zhaohui L. Arter A , Cary Johnson C , Truc Tran B , Farshid Dayyani E , Krishnansu Tewari E , Valery Vilchez E , Joeseph Carmichael E , May Cho A

DOI: 10.12659/AJCR.939448

Am J Case Rep 2023; 24:e939448

Table 1. Immunohistochemical stain and next-generation sequencing for microsatellite instability.

SpecimenMismatch repair atatus
Tissue immunohistochemistry – primary endometrial carcinoma from uterusProficient
Caris next-generation sequencing – primary endometrial carcinomaQuantity not sufficient
Tissue immunohistochemistry – recurrent retroperitoneal massDeficient
Guardant360 biomarker – serum after reoccurrenceDeficient
Caris next-generation sequencing – recurrent retroperitoneal massDeficient

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923