Primary lymphoepithelioma-like carcinoma within an intralobular pulmonary sequestration.
A 31-yr-old Chinese female, a nonsmoker, presented with digital clubbing and coughing. Diagnostic evaluation revealed a pulmonary sequestration in the left lower lobe. During surgery a tumour was discovered, which turned out to be a lymphoepithelioma-like carcinoma. These tumours are mainly found in Asians, and are associated with the Epstein Barr virus and not with smoking. They are thought to have a better prognosis and to be more chemosensitive. The need for surgical treatment of pulmonary sequestration and the recognition of lymphoepithelioma-like carcinoma as a distinct clinicopathological entity is emphasized.
Hekelaar
N
N
Dept of Pulmonology, Albert Schweitzer Ziekenhuis, Dordrecht, The Netherlands.
van Uffelen
R
R
van Vliet
A C
AC
Varin
O C
OC
Westenend
P J
PJ
D000328:Adult; D001998:Bronchopulmonary Sequestration / Q000150:complications* / Q000601:surgery; D002277:Carcinoma / Q000473:pathology* / Q000821:virology; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000473:pathology* / Q000821:virology; D005260:Female; D004854:Herpesvirus 4, Human / Q000235:genetics; D006801:Humans; D008168:Lung / Q000473:pathology; D012367:RNA, Viral / Q000032:analysis
D012367:RNA, Viral