The test results revealed that her tumour was MSS with a (c.1093_1169 + 15dup) RAD54L germline mutation (Fig. 3) and a TMB of 377.0 Muts/Mb including ABCB1, AKT1, APC, ATM, BAX, BRCA1, BRCA2, ERBB2, PBRM1, TAP1, TP53, XPC, FGFR1, FGFR4, NF2, CDK8, NTRK2, RAD50, ATR, PIK3R1, SMAD4, SMAD2, POLE and POLH. This evidence concerns the gene RAD54L and neoplasm.