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肺淋巴上皮癌:一例报告并文献复习

Lymphoepithelial Carcinoma of the Lung: A Case Report and Review of the Literature.

作者信息

Samaras Menelaos G, Koufopoulos Nektarios Ι, Mitsos Sofoklis, Dylja Eris, Monokrousou Athanasia, Tomos Periklis, Panayiotides Ioannis G, Goutas Dimitrios

机构信息

Department of Pathology, School of Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.

Department of Thoracic Surgery, University College London Hospitals NHS Foundation Trust, London, GBR.

出版信息

Cureus. 2024 Sep 27;16(9):e70309. doi: 10.7759/cureus.70309. eCollection 2024 Sep.

DOI:10.7759/cureus.70309
PMID:39463559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11512745/
Abstract

Lymphoepithelial or lymphoepithelioma-like carcinoma is a poorly differentiated carcinoma located outside the nasopharynx with similar morphologic characteristics to its nasopharyngeal counterpart. Lymphoepithelial carcinoma of the lung is a rare subtype of squamous cell lung carcinoma frequently associated with Epstein-Barr virus (EBV) infection, accounting for approximately 1% of non-small cell lung carcinomas (NSCLC). We herewith present a case of a 78-year-old female patient who was diagnosed with lymphoepithelial carcinoma of the lung, emphasizing its distinct epidemiological features, clinical workup, and histopathological characteristics. Furthermore, we discuss its histologic differential diagnosis. Finally, we refer to this tumor's unique molecular and immunological profile and its treatment modalities, and we review the literature.

摘要

淋巴上皮或淋巴上皮瘤样癌是一种位于鼻咽部以外的低分化癌,其形态学特征与其鼻咽部对应物相似。肺淋巴上皮癌是肺鳞状细胞癌的一种罕见亚型,常与爱泼斯坦-巴尔病毒(EBV)感染相关,约占非小细胞肺癌(NSCLC)的1%。我们在此报告一例78岁女性患者,她被诊断为肺淋巴上皮癌,强调其独特的流行病学特征、临床检查和组织病理学特征。此外,我们讨论了其组织学鉴别诊断。最后,我们提及该肿瘤独特的分子和免疫特征及其治疗方式,并对文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a14f/11512745/64d1bc29f2e9/cureus-0016-00000070309-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a14f/11512745/f7a0cfee83d3/cureus-0016-00000070309-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a14f/11512745/9707d7a6d9c4/cureus-0016-00000070309-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a14f/11512745/e932e6a36c46/cureus-0016-00000070309-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a14f/11512745/64d1bc29f2e9/cureus-0016-00000070309-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a14f/11512745/f7a0cfee83d3/cureus-0016-00000070309-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a14f/11512745/9707d7a6d9c4/cureus-0016-00000070309-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a14f/11512745/e932e6a36c46/cureus-0016-00000070309-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a14f/11512745/64d1bc29f2e9/cureus-0016-00000070309-i04.jpg

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Int J Mol Sci. 2024 Aug 1;25(15):8382. doi: 10.3390/ijms25158382.
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Pulmonary squamous cell carcinoma and lymphoepithelial carcinoma - morphology, molecular characteristics and differential diagnosis.肺鳞状细胞癌和淋巴上皮癌——形态学、分子特征及鉴别诊断
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J Cancer Res Clin Oncol. 2023 Sep;149(11):8691-8697. doi: 10.1007/s00432-023-04808-w. Epub 2023 May 1.
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The 2021 WHO Classification of Lung Tumors: Impact of Advances Since 2015.2021 年世卫组织肺肿瘤分类:自 2015 年以来的进展影响。
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