Evidence map›Paper›PMID 41971312›Full record

ArticleGynecologic oncology reports2026

Complete and durable response to trastuzumab deruxtecan in HER2-amplified invasive vulvar adenocarcinoma: A case report.

Alice P Barr, Ngoctran Nakamura, Nancy T Nguyen

Abstract readCase Reports
In one paragraph

Article in Gynecologic oncology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Alice P BarrUniversity of California, Davis, 2279 45th St, Sacramento, CA 95817, USA.
Ngoctran NakamuraUniversity of California, Davis, 2279 45th St, Sacramento, CA 95817, USA.
Nancy T NguyenUniversity of California, Davis, 2279 45th St, Sacramento, CA 95817, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Vulvar adenocarcinoma represents a rare subset of gynecologic malignancies, with limited therapeutic options in the advanced or recurrent setting. HER2 testing is not routinely performed on vulvar carcinoma. Case presentation: We report the case of a 69-year-old woman diagnosed with human epidermal growth factor 2 (HER2)-amplified recurrent metastatic vulvar adenocarcinoma arising in the context of extramammary Paget's disease. Despite multiple standard systemic therapies, she experienced marked disease with diffuse metastases. With subsequent trastuzumab deruxtecan (T-Dxd) treatment, she achieved a complete and durable response and remains with no evidence of disease after one year of follow-up. Conclusion: This report underscores the potential utility of HER2-directed therapy in select cases of vulvar carcinoma and emphasizes the importance of molecular profiling in rare gynecologic neoplasms.

Identifiers

PMID41971312
PMCPMC13062506

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.