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Primary lymphoepithelioma-like carcinoma within an intralobular pulmonary sequestration
N Hekelaar1, R van Uffelen, A C van Vliet
1Dept of Pulmonology, Albert Schweitzer Ziekenhuis, Dordrecht, The Netherlands.
Abstract:
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.
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