• Recent FDA approvals of pembrolizumab, durvalumab, and dostarlimab combined with chemotherapy have significantly improved outcomes for advanced endometrial cancer.
• Ongoing trials are exploring PARP inhibitors, CDK 4/6 inhibitors, and antibody-drug conjugates to further refine treatment strategies for endometrial cancer.
• Molecular testing is increasingly crucial for personalizing treatment, with MMR status guiding immunotherapy eligibility and TCGA categories predicting outcomes.
• Despite progress, the rising incidence of endometrial cancer and the need for better early detection strategies remain critical challenges.