CASE REPORT article

Front. Oncol.

Sec. Gynecological Oncology

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1555351

This article is part of the Research TopicAdvances in Diagnosis and Treatment of Endometrial CancerView all articles

Case report: A case of neuroendocrine carcinoma of the endometrium with deficient DNA mismatch repair had achieved clinical complete response after combination therapy

Provisionally accepted
  • 1Zunyi Medical University, Zunyi, Guizhou Province, China
  • 2Department of Oncology, Guizhou Provincial People's Hospital, Guizhou, China

The final, formatted version of the article will be published soon.

Immunotherapy has dramatically transformed the therapeutic prospect for patients with postoperative progression and metastasis. Camrelizumab, a programmed death-1 (PD-1) inhibitor, has been reported to be effective and safe for the management of advanced DNA mismatch repair deficiency (dMMR) solid tumors. Herein, we report the case of a 58-year-old female patient with neuroendocrine carcinoma of the endometrium (NECE) who was treated with camrelizumab coupled with chemotherapy, subsequent maintenance monotherapy with camrelizumab and adjuvant pelvic local radiotherapy. As of December 2024, the patient has survived for 28 months after treatment, with 26 months absence of disease progression, and is currently classified as having a clinical complete response (cCR). Our study demonstrates the combination regimen shows promising efficacy without additional adverse affects, apart from radiotherapy-related pelvic insufficiency fracture (PIF).

Keywords: Neuroendocrine carcinoma of the endometrium (NECE), DNA mismatch repair deficiency (dMMR), Programmed death-1 (PD-1) inhibitor, camrelizumab, Combination chemotherapy, adjuvant radiotherapy

Received: 04 Jan 2025; Accepted: 30 Apr 2025.

Copyright: © 2025 Xie. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Ding Xie, Zunyi Medical University, Zunyi, 563000, Guizhou Province, China

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