This cohort observed partial responses in patients with appendiceal carcinoma (ATM S1599* mutation), cholangiocarcinoma (ATM G1676fs mutation), and urachal adenocarcinoma (PALB2 R170fs14 mutation), along with three cases of prolonged stable disease in patients with mutations in Fanconi Anemia genes and ATM mutations. This evidence concerns the gene ATM and bladder urachal adenocarcinoma.