Chronological timeline of diagnostic liver biopsies (red circles), plasma ctDNA assessments (orange triangles), and treatment course of an atypical carcinoid tumor of the lung with TMZ-associated hypermutation treated with checkpoint inhibitor immunotherapy. Included is hematoxylin and eosin staining of histopathologic liver biopsy specimens at 60× magnification. ctDNA, circulating tumor DNA; FOLFIRI, fluorouracil, leucovorin, and irinotecan; FOLFOX, infusional fluorouracil, leucovorin, and oxaliplatin; NA, not available; NET, neuroendocrine tumor; TMZ, temozolomide; WD, well-differentiated.