Induction chemoradiotherapy achieves long-term recurrence-free survival in locally advanced pulmonary lymphoepithelioma-like carcinoma: a case report and literature review

Pulmonary lymphoepithelioma-like carcinoma (pLELC) is a rare subtype of non-small cell lung cancer (NSCLC) that is closely associated with Epstein-Barr virus (EBV) infection. While radiotherapy after induction chemotherapy have shown marked efficacy in nasopharyngeal carcinoma (NPC), its effectivene...

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Main Authors: Gengda Huang, Hong He, Yuting Fan, Qinqin Ren, Huixin Jiang, Li Luo, Li Guo, Haiwen Chen, Jiexia Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1605900/full
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author Gengda Huang
Gengda Huang
Hong He
Hong He
Yuting Fan
Qinqin Ren
Huixin Jiang
Huixin Jiang
Li Luo
Li Guo
Haiwen Chen
Jiexia Zhang
author_facet Gengda Huang
Gengda Huang
Hong He
Hong He
Yuting Fan
Qinqin Ren
Huixin Jiang
Huixin Jiang
Li Luo
Li Guo
Haiwen Chen
Jiexia Zhang
author_sort Gengda Huang
collection DOAJ
description Pulmonary lymphoepithelioma-like carcinoma (pLELC) is a rare subtype of non-small cell lung cancer (NSCLC) that is closely associated with Epstein-Barr virus (EBV) infection. While radiotherapy after induction chemotherapy have shown marked efficacy in nasopharyngeal carcinoma (NPC), its effectiveness in pLELC remains uncertain. A female with stage IIIB pLELC was treated with 4 cycles of gemcitabine plus cisplatin, achieving partial response(PR), followed by radical radiotherapy. Patients achieved clinical complete response(CR) with recurrence-free for over five years. This case highlights the potential of induction chemotherapy as an effective treatment for locally advanced pLELC.
format Article
id doaj-art-c8191c5d0e504f08b5c338d6ae426027
institution Kabale University
issn 1664-3224
language English
publishDate 2025-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-c8191c5d0e504f08b5c338d6ae4260272025-08-20T03:58:36ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-07-011610.3389/fimmu.2025.16059001605900Induction chemoradiotherapy achieves long-term recurrence-free survival in locally advanced pulmonary lymphoepithelioma-like carcinoma: a case report and literature reviewGengda Huang0Gengda Huang1Hong He2Hong He3Yuting Fan4Qinqin Ren5Huixin Jiang6Huixin Jiang7Li Luo8Li Guo9Haiwen Chen10Jiexia Zhang11Department of Respiratory and Critical Care Medicine, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, ChinaSchool of Clinical Medicine, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Respiratory and Critical Care Medicine, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, ChinaSchool of Clinical Medicine, Guangzhou Medical University, Guangzhou, Guangdong, ChinaSchool of Clinical Medicine, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Pulmonary and Critical Care Medicine of Jiangbei Campus, The First Affiliated Hospital of Army Medical University (The 958th Hospital of Chinese People's Liberation Army), Chongqing, ChinaDepartment of Respiratory and Critical Care Medicine, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, ChinaSchool of Clinical Medicine, Guangzhou Medical University, Guangzhou, Guangdong, ChinaSchool of Clinical Medicine, Guangzhou Medical University, Guangzhou, Guangdong, ChinaSchool of Clinical Medicine, Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Respiratory and Critical Care Medicine, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, ChinaDepartment of Respiratory and Critical Care Medicine, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, National Center for Respiratory Medicine, Guangzhou Institute of Respiratory Health, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, ChinaPulmonary lymphoepithelioma-like carcinoma (pLELC) is a rare subtype of non-small cell lung cancer (NSCLC) that is closely associated with Epstein-Barr virus (EBV) infection. While radiotherapy after induction chemotherapy have shown marked efficacy in nasopharyngeal carcinoma (NPC), its effectiveness in pLELC remains uncertain. A female with stage IIIB pLELC was treated with 4 cycles of gemcitabine plus cisplatin, achieving partial response(PR), followed by radical radiotherapy. Patients achieved clinical complete response(CR) with recurrence-free for over five years. This case highlights the potential of induction chemotherapy as an effective treatment for locally advanced pLELC.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1605900/fullnon-small cell lung cancerEpstein-Barr viruslymphoepithelioma-like carcinomainduction chemotherapyradical radiotherapy
spellingShingle Gengda Huang
Gengda Huang
Hong He
Hong He
Yuting Fan
Qinqin Ren
Huixin Jiang
Huixin Jiang
Li Luo
Li Guo
Haiwen Chen
Jiexia Zhang
Induction chemoradiotherapy achieves long-term recurrence-free survival in locally advanced pulmonary lymphoepithelioma-like carcinoma: a case report and literature review
Frontiers in Immunology
non-small cell lung cancer
Epstein-Barr virus
lymphoepithelioma-like carcinoma
induction chemotherapy
radical radiotherapy
title Induction chemoradiotherapy achieves long-term recurrence-free survival in locally advanced pulmonary lymphoepithelioma-like carcinoma: a case report and literature review
title_full Induction chemoradiotherapy achieves long-term recurrence-free survival in locally advanced pulmonary lymphoepithelioma-like carcinoma: a case report and literature review
title_fullStr Induction chemoradiotherapy achieves long-term recurrence-free survival in locally advanced pulmonary lymphoepithelioma-like carcinoma: a case report and literature review
title_full_unstemmed Induction chemoradiotherapy achieves long-term recurrence-free survival in locally advanced pulmonary lymphoepithelioma-like carcinoma: a case report and literature review
title_short Induction chemoradiotherapy achieves long-term recurrence-free survival in locally advanced pulmonary lymphoepithelioma-like carcinoma: a case report and literature review
title_sort induction chemoradiotherapy achieves long term recurrence free survival in locally advanced pulmonary lymphoepithelioma like carcinoma a case report and literature review
topic non-small cell lung cancer
Epstein-Barr virus
lymphoepithelioma-like carcinoma
induction chemotherapy
radical radiotherapy
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1605900/full
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