...a case of metastatic uterine serous carcinoma due to a germline MSH6 mutation (Lynch syndrome) which was discovered because of her tumor MMR deficiency. The patient was started on first-line pembrolizumab in 2018 and sustained a partial response. She remains asymptomatic and progression-free for more than two years. Tumor sequencing showed a high mutational burden and an upstream somatic mutation in the same gene, p.F1088fs.