CD4-positive lymphoepithelial-like carcinoma: Report of unusual case

We are reporting an unusual case of lymphoepithelial-like carcinoma (LELC) in an 8-year-old female patient where the tumor cells showed unusual CD4 expression. The lesion was found in the left submandibular neck region, in the vicinity of the submandibular gland. The salivary gland was not infiltrat...

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Autores principales: Luaay Aziz, Raya Saab, Toufic Eid, Mousa A Al-Abbadi
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Lenguaje:EN
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2018
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Acceso en línea:https://doaj.org/article/c4c2539858dc44818824f0df9b6b44e3
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spelling oai:doaj.org-article:c4c2539858dc44818824f0df9b6b44e32021-12-02T16:35:54ZCD4-positive lymphoepithelial-like carcinoma: Report of unusual case2231-07702249-446410.4103/ajm.AJM_135_17https://doaj.org/article/c4c2539858dc44818824f0df9b6b44e32018-04-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.AJM_135_17https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464We are reporting an unusual case of lymphoepithelial-like carcinoma (LELC) in an 8-year-old female patient where the tumor cells showed unusual CD4 expression. The lesion was found in the left submandibular neck region, in the vicinity of the submandibular gland. The salivary gland was not infiltrated by the tumor, and the tumor exhibited a classic LELC with single and clusters of tumor cells surrounded by many hematolymphoid cells. The tumor cells revealed strong positivity for Epstein–Bar virus as confirmed by the EBER: Epstein-Barr Virus in situ hybridization (EBER-ISH) method of staining. Interestingly, the tumor cells expressed membranous immunostaining for the T-helper lymphocyte antibody (CD4) in addition to pan-cytokeratin. A brief discussion about this unusual finding is offered. The patient was treated as a case of Epstein–Bar virus-associated nasopharyngeal carcinoma with excellent response.Luaay AzizRaya SaabToufic EidMousa A Al-AbbadiThieme Medical and Scientific Publishers Pvt. Ltd.articlecd4epstein–bar viruslymphoepithelial-like carcinomanasopharyngeal carcinomaMedicineRENAvicenna Journal of Medicine, Vol 8, Iss 02, Pp 58-62 (2018)
institution DOAJ
collection DOAJ
language EN
topic cd4
epstein–bar virus
lymphoepithelial-like carcinoma
nasopharyngeal carcinoma
Medicine
R
spellingShingle cd4
epstein–bar virus
lymphoepithelial-like carcinoma
nasopharyngeal carcinoma
Medicine
R
Luaay Aziz
Raya Saab
Toufic Eid
Mousa A Al-Abbadi
CD4-positive lymphoepithelial-like carcinoma: Report of unusual case
description We are reporting an unusual case of lymphoepithelial-like carcinoma (LELC) in an 8-year-old female patient where the tumor cells showed unusual CD4 expression. The lesion was found in the left submandibular neck region, in the vicinity of the submandibular gland. The salivary gland was not infiltrated by the tumor, and the tumor exhibited a classic LELC with single and clusters of tumor cells surrounded by many hematolymphoid cells. The tumor cells revealed strong positivity for Epstein–Bar virus as confirmed by the EBER: Epstein-Barr Virus in situ hybridization (EBER-ISH) method of staining. Interestingly, the tumor cells expressed membranous immunostaining for the T-helper lymphocyte antibody (CD4) in addition to pan-cytokeratin. A brief discussion about this unusual finding is offered. The patient was treated as a case of Epstein–Bar virus-associated nasopharyngeal carcinoma with excellent response.
format article
author Luaay Aziz
Raya Saab
Toufic Eid
Mousa A Al-Abbadi
author_facet Luaay Aziz
Raya Saab
Toufic Eid
Mousa A Al-Abbadi
author_sort Luaay Aziz
title CD4-positive lymphoepithelial-like carcinoma: Report of unusual case
title_short CD4-positive lymphoepithelial-like carcinoma: Report of unusual case
title_full CD4-positive lymphoepithelial-like carcinoma: Report of unusual case
title_fullStr CD4-positive lymphoepithelial-like carcinoma: Report of unusual case
title_full_unstemmed CD4-positive lymphoepithelial-like carcinoma: Report of unusual case
title_sort cd4-positive lymphoepithelial-like carcinoma: report of unusual case
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate 2018
url https://doaj.org/article/c4c2539858dc44818824f0df9b6b44e3
work_keys_str_mv AT luaayaziz cd4positivelymphoepitheliallikecarcinomareportofunusualcase
AT rayasaab cd4positivelymphoepitheliallikecarcinomareportofunusualcase
AT touficeid cd4positivelymphoepitheliallikecarcinomareportofunusualcase
AT mousaaalabbadi cd4positivelymphoepitheliallikecarcinomareportofunusualcase
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