Response of undifferentiated and dedifferentiated endometrial cancer to pembrolizumab: a case report.
Peter G Rose, Johanna Kelley, Aaron Petty et al.
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Case in brief
This case report discusses the use of pembrolizumab in a cohort of patients with undifferentiated and dedifferentiated endometrial cancer. Among 11 patients treated, 10 were found to be mismatch repair-deficient. The treatment resulted in three partial responses and two complete responses, both occurring in patients who received pembrolizumab alongside chemotherapy. Adverse effects included colitis and hepatitis.
Diagnostic / clinical pearl
Clinicians should consider the high prevalence of mismatch repair deficiency in undifferentiated and dedifferentiated endometrial cancers when evaluating treatment options, particularly the potential benefits of combining immunotherapy with chemotherapy.
Why it matters
This case highlights the importance of recognizing the histologic type of endometrial cancer, as it may influence treatment strategies and outcomes, particularly in advanced stages.