Novel Multimodal Management of Post-Partum Synchronous Metastatic Pulmonary EBV-Associated Lymphoepithelioma-Like Carcinoma (LELC)—A Case Report

Primary Epstein-Barr-Virus (EBV)-associated pulmonary lymphoepithelioma-like carcinoma (LELC) is an aggressive rare cancer. Higher incidences have been observed in Asian sub-populations. Multimodal treatment paradigms have emerged as promising novel strategies in the management of advanced NSCLC. In...

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Autores principales: Montserrat Pazos, Chukwuka Eze, Kathrin Kahnert, Maria Delius, Amanda Tufman, Irene Alba-Alejandre, Marcus Unterrainer, Jens Neumann, Thomas Kirchner, Farkhad Manapov
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/1c581c1957a149ccbceddc623993682b
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spelling oai:doaj.org-article:1c581c1957a149ccbceddc623993682b2021-11-25T17:21:23ZNovel Multimodal Management of Post-Partum Synchronous Metastatic Pulmonary EBV-Associated Lymphoepithelioma-Like Carcinoma (LELC)—A Case Report10.3390/diagnostics111120722075-4418https://doaj.org/article/1c581c1957a149ccbceddc623993682b2021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/2072https://doaj.org/toc/2075-4418Primary Epstein-Barr-Virus (EBV)-associated pulmonary lymphoepithelioma-like carcinoma (LELC) is an aggressive rare cancer. Higher incidences have been observed in Asian sub-populations. Multimodal treatment paradigms have emerged as promising novel strategies in the management of advanced NSCLC. In this report, we describe the case of a 34-year-old female patient of Asian origin with a post-partum initial diagnosis of pulmonary LELC. Multimodal treatment with chemoimmunotherapy and hypofractionated irradiation to the primary tumour and main metastatic sites led to a favourable response demonstrating that radiotherapy may potentially augment anti-tumour immunity. To the best of our knowledge, this is the first case report on this novel therapy strategy of multi-site hypofractionated radiotherapy and chemoimmunotherapy for metastatic pulmonary EBV-associated LELC.Montserrat PazosChukwuka EzeKathrin KahnertMaria DeliusAmanda TufmanIrene Alba-AlejandreMarcus UnterrainerJens NeumannThomas KirchnerFarkhad ManapovMDPI AGarticleEBV-associated lymphoepithelioma-like lung carcinomaLELCmulti-site radiation therapychemoimmunotherapylung cancer in pregnancyMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 2072, p 2072 (2021)
institution DOAJ
collection DOAJ
language EN
topic EBV-associated lymphoepithelioma-like lung carcinoma
LELC
multi-site radiation therapy
chemoimmunotherapy
lung cancer in pregnancy
Medicine (General)
R5-920
spellingShingle EBV-associated lymphoepithelioma-like lung carcinoma
LELC
multi-site radiation therapy
chemoimmunotherapy
lung cancer in pregnancy
Medicine (General)
R5-920
Montserrat Pazos
Chukwuka Eze
Kathrin Kahnert
Maria Delius
Amanda Tufman
Irene Alba-Alejandre
Marcus Unterrainer
Jens Neumann
Thomas Kirchner
Farkhad Manapov
Novel Multimodal Management of Post-Partum Synchronous Metastatic Pulmonary EBV-Associated Lymphoepithelioma-Like Carcinoma (LELC)—A Case Report
description Primary Epstein-Barr-Virus (EBV)-associated pulmonary lymphoepithelioma-like carcinoma (LELC) is an aggressive rare cancer. Higher incidences have been observed in Asian sub-populations. Multimodal treatment paradigms have emerged as promising novel strategies in the management of advanced NSCLC. In this report, we describe the case of a 34-year-old female patient of Asian origin with a post-partum initial diagnosis of pulmonary LELC. Multimodal treatment with chemoimmunotherapy and hypofractionated irradiation to the primary tumour and main metastatic sites led to a favourable response demonstrating that radiotherapy may potentially augment anti-tumour immunity. To the best of our knowledge, this is the first case report on this novel therapy strategy of multi-site hypofractionated radiotherapy and chemoimmunotherapy for metastatic pulmonary EBV-associated LELC.
format article
author Montserrat Pazos
Chukwuka Eze
Kathrin Kahnert
Maria Delius
Amanda Tufman
Irene Alba-Alejandre
Marcus Unterrainer
Jens Neumann
Thomas Kirchner
Farkhad Manapov
author_facet Montserrat Pazos
Chukwuka Eze
Kathrin Kahnert
Maria Delius
Amanda Tufman
Irene Alba-Alejandre
Marcus Unterrainer
Jens Neumann
Thomas Kirchner
Farkhad Manapov
author_sort Montserrat Pazos
title Novel Multimodal Management of Post-Partum Synchronous Metastatic Pulmonary EBV-Associated Lymphoepithelioma-Like Carcinoma (LELC)—A Case Report
title_short Novel Multimodal Management of Post-Partum Synchronous Metastatic Pulmonary EBV-Associated Lymphoepithelioma-Like Carcinoma (LELC)—A Case Report
title_full Novel Multimodal Management of Post-Partum Synchronous Metastatic Pulmonary EBV-Associated Lymphoepithelioma-Like Carcinoma (LELC)—A Case Report
title_fullStr Novel Multimodal Management of Post-Partum Synchronous Metastatic Pulmonary EBV-Associated Lymphoepithelioma-Like Carcinoma (LELC)—A Case Report
title_full_unstemmed Novel Multimodal Management of Post-Partum Synchronous Metastatic Pulmonary EBV-Associated Lymphoepithelioma-Like Carcinoma (LELC)—A Case Report
title_sort novel multimodal management of post-partum synchronous metastatic pulmonary ebv-associated lymphoepithelioma-like carcinoma (lelc)—a case report
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/1c581c1957a149ccbceddc623993682b
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