•False negative cases for mismatch repair determination by immunohistochemistry may occur.•The mismatch repair phenotype in endometrial carcinoma impacts on therapeutic decision making.•Retesting for mismatch repair at relapse of endometrial carcinoma should be considered.
Keywords: Deficient MMR; Endometrial carcinoma; Immunotherapy; Microsatellite instability; RESPONSE biomarker.
© 2023 The Author(s).