Exceptional response to everolimus in an NF1-deficient recurrent endometrioid adenocarcinoma: a case report - Report - MDSpire

Exceptional response to everolimus in an NF1-deficient recurrent endometrioid adenocarcinoma: a case report

  • By

  • Maja Machulak

  • Magdalena Zwierzchowska

  • Kinga Łysak

  • Kamil Kośmider

  • Katarzyna Szklener

  • Magdalena Skórzewska

  • May 25, 2026

  • 0 min

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Clinical Report: Remarkable Efficacy of Everolimus in Treating Recurrent Endometrioid Adenocarcinoma Lacking NF1

Overview

This case study reports the use of everolimus in a 64-year-old woman with recurrent endometrioid adenocarcinoma lacking NF1 mutations. Treatment was discontinued due to significant metabolic toxicity.

Background

Endometrial cancer is a prevalent malignancy in women, particularly in perimenopausal and postmenopausal populations. The disease's complexity is underscored by its multifactorial pathogenesis, including genetic mutations such as NF1.

Data Highlights

No numerical data or trial data provided in the source material.

Key Findings

  • A 64-year-old woman with grade I endometrioid adenocarcinoma experienced disease recurrence over three years post-surgery.
  • Molecular analysis revealed a loss-of-function mutation in the NF1 gene.
  • Everolimus treatment led to complete remission, although treatment was discontinued due to significant metabolic toxicity.
  • This case highlights the importance of molecular diagnostics in personalizing treatment strategies for endometrial cancer.

Clinical Implications

This case illustrates the application of everolimus in a specific clinical setting of endometrioid adenocarcinoma.

Conclusion

This case illustrates the use of everolimus in treating NF1-deficient recurrent endometrioid adenocarcinoma.

Related Resources & Content

  1. The ASCO Post, 2024 -- Efficacy of Adjuvant Everolimus Plus Endocrine Therapy in High-Risk, Hormone Receptor–Positive, HER2-Negative Breast Cancer KEY POINTS
  2. The ASCO Post, 2016 -- Everolimus Effective in Neuroendocrine Tumors of Gastrointestinal Origin
  3. The ASCO Post, 2023 -- Adjuvant Everolimus in Patients With RCC at High Risk of Recurrence
  4. PubMed, 2025 -- ESGO-ESTRO-ESP guidelines for the management of patients with endometrial carcinoma: update 2025
  5. FDA -- FDA approves pembrolizumab with chemotherapy for primary advanced or recurrent endometrial carcinoma
  6. the asco post — Everolimus/Lanreotide vs Everolimus in Gastroenteropancreatic Neuroendocrine Tumors
  7. ESGO-ESTRO-ESP guidelines for the management of patients with endometrial carcinoma: update 2025 - PubMed
  8. FDA approves pembrolizumab with chemotherapy for primary advanced or recurrent endometrial carcinoma | FDA
  9. A randomized phase II trial of everolimus and letrozole or hormonal therapy in women with advanced, persistent or recurrent endometrial carcinoma: A GOG Foundation study - PubMed
  10. Gene actionability according to the ESMO Scale for Clinical Actionability of molecular Targets (ESCAT) in No Specific Molecular Profile (NSMP) endometrial cancer - PubMed
  11. A phase II study of everolimus in patients with advanced solid malignancies with TSC1, TSC2, NF1, NF2 or STK11 mutations - PubMed
  12. Multi-node inhibition targeting mTORC1, mTORC2 and PI3Kα potently inhibits the PI3K/AKT/mTOR pathway in endometrial and breast cancer models | British Journal of Cancer
  13. PI3K/AKT/mTOR inhibitors for advanced or recurrent endometrial cancer - PMC

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