Lymphoepithelial carcinoma of tongue - Devil in garbs of Hodgkin lymphoma: A case report and review of literature
Lymphoepithelial carcinoma (LEC) of head and neck region predominantly arises in salivary gland, oral cavity, oropharynx, nasal cavity, paranasal sinuses, and larynx; those arising from tongue are rare. Morphologically, it is a poorly differentiated squamous cell carcinoma, with early regional and d...
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| Published in | Journal of cancer research and therapeutics Vol. 20; no. 1; pp. 445 - 449 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
India
Wolters Kluwer - Medknow
2024
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd |
| Edition | 2 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0973-1482 1998-4138 1998-4138 |
| DOI | 10.4103/jcrt.jcrt_1559_22 |
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| Abstract | Lymphoepithelial carcinoma (LEC) of head and neck region predominantly arises in salivary gland, oral cavity, oropharynx, nasal cavity, paranasal sinuses, and larynx; those arising from tongue are rare. Morphologically, it is a poorly differentiated squamous cell carcinoma, with early regional and distant metastasis. Diagnosis of LEC can sometimes be challenging especially in small biopsy and more so when seen at unusual location. Combination of morphology and immunohistochemistry (IHC) helps the diagnosis. Herein, we report a rare third case of LEC arising from lateral border tongue, diagnosed in a 36-year-old male. The presented case highlights challenges faced during diagnosis in small biopsy. Treatment of LECs comprises of surgery followed by radiotherapy or combined chemoradiation. Though, almost 70% of LEC of oral cavity region present with cervical nodal metastasis, their prognosis remains favorable. |
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| AbstractList | Lymphoepithelial carcinoma (LEC) of head and neck region predominantly arises in salivary gland, oral cavity, oropharynx, nasal cavity, paranasal sinuses, and larynx; those arising from tongue are rare. Morphologically, it is a poorly differentiated squamous cell carcinoma, with early regional and distant metastasis. Diagnosis of LEC can sometimes be challenging especially in small biopsy and more so when seen at unusual location. Combination of morphology and immunohistochemistry (IHC) helps the diagnosis. Herein, we report a rare third case of LEC arising from lateral border tongue, diagnosed in a 36-year-old male. The presented case highlights challenges faced during diagnosis in small biopsy. Treatment of LECs comprises of surgery followed by radiotherapy or combined chemoradiation. Though, almost 70% of LEC of oral cavity region present with cervical nodal metastasis, their prognosis remains favorable. Lymphoepithelial carcinoma (LEC) of head and neck region predominantly arises in salivary gland, oral cavity, oropharynx, nasal cavity, paranasal sinuses, and larynx; those arising from tongue are rare. Morphologically, it is a poorly differentiated squamous cell carcinoma, with early regional and distant metastasis. Diagnosis of LEC can sometimes be challenging especially in small biopsy and more so when seen at unusual location. Combination of morphology and immunohistochemistry (IHC) helps the diagnosis. Herein, we report a rare third case of LEC arising from lateral border tongue, diagnosed in a 36-year-old male. The presented case highlights challenges faced during diagnosis in small biopsy. Treatment of LECs comprises of surgery followed by radiotherapy or combined chemoradiation. Though, almost 70% of LEC of oral cavity region present with cervical nodal metastasis, their prognosis remains favorable. Keywords: Epstein-Barr virus, lymphoepithelial carcinoma, tongue Lymphoepithelial carcinoma (LEC) of head and neck region predominantly arises in salivary gland, oral cavity, oropharynx, nasal cavity, paranasal sinuses, and larynx; those arising from tongue are rare. Morphologically, it is a poorly differentiated squamous cell carcinoma, with early regional and distant metastasis. Diagnosis of LEC can sometimes be challenging especially in small biopsy and more so when seen at unusual location. Combination of morphology and immunohistochemistry (IHC) helps the diagnosis. Herein, we report a rare third case of LEC arising from lateral border tongue, diagnosed in a 36-year-old male. The presented case highlights challenges faced during diagnosis in small biopsy. Treatment of LECs comprises of surgery followed by radiotherapy or combined chemoradiation. Though, almost 70% of LEC of oral cavity region present with cervical nodal metastasis, their prognosis remains favorable.Lymphoepithelial carcinoma (LEC) of head and neck region predominantly arises in salivary gland, oral cavity, oropharynx, nasal cavity, paranasal sinuses, and larynx; those arising from tongue are rare. Morphologically, it is a poorly differentiated squamous cell carcinoma, with early regional and distant metastasis. Diagnosis of LEC can sometimes be challenging especially in small biopsy and more so when seen at unusual location. Combination of morphology and immunohistochemistry (IHC) helps the diagnosis. Herein, we report a rare third case of LEC arising from lateral border tongue, diagnosed in a 36-year-old male. The presented case highlights challenges faced during diagnosis in small biopsy. Treatment of LECs comprises of surgery followed by radiotherapy or combined chemoradiation. Though, almost 70% of LEC of oral cavity region present with cervical nodal metastasis, their prognosis remains favorable. |
| Audience | Professional |
| Author | Mandal, Ghanashyam Karki, Diksha Kamboj, Meenakshi Arora, Vikas Pasricha, Sunil Yadav, Vishal |
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| Cites_doi | 10.3390/diagnostics11061039 10.1177/019459988910000410 10.1159/000302139 10.3390/reports4030024 10.1007/s12105-011-0278-7 10.1016/j.ajoms.2017.03.008 |
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| References_xml | – volume: 38 start-page: 1294 year: 2016 ident: R9-20241021 article-title: Non-nasopharyngeal head, and neck lymphoepithelioma-like carcinoma in the United States:A population-based study publication-title: Head Neck – volume: 11 start-page: 1039 year: 2021 ident: R5-20241021 article-title: A case report of tongue lymphoepithelial carcinoma with a histological diagnostic dilemma publication-title: Diagnostics doi: 10.3390/diagnostics11061039 – volume: 100 start-page: 303 year: 1989 ident: R3-20241021 article-title: Lymphoepithelioma of the oropharynx publication-title: Otolaryngol Head Neck Surg doi: 10.1177/019459988910000410 – volume: 26 start-page: 1087 year: 2012 ident: R2-20241021 article-title: Intraoral lymphoepithelial carcinoma of the minor salivary glands publication-title: In Vivo – volume: 7 start-page: 67 year: 2015 ident: R4-20241021 article-title: A rare case of lymphoepithelioma of base of tongue-non nasopharyngeal lymphoepithelioma publication-title: Int J Cur Res Rev – volume: 3 start-page: 77 year: 2010 ident: R7-20241021 article-title: Schmincke's tumor, carcinoma of the base of the tongue c T1-2, cN2c M0-A case report publication-title: Case Rep Oncol doi: 10.1159/000302139 – volume: 4 start-page: 24 year: 2021 ident: R6-20241021 article-title: Lymphoepithelial carcinoma in the lateral tongue:The case report publication-title: Reports doi: 10.3390/reports4030024 – volume: 5 start-page: 327 year: 2011 ident: R8-20241021 article-title: Lymphoepithelial carcinoma:Two case reports and a systematic review of oral and sinonasal cases publication-title: Head and Neck Pathol doi: 10.1007/s12105-011-0278-7 – volume: 6 start-page: 581 year: 2017 ident: R10-20241021 article-title: Immunophenotypic analysis of tumor infiltrating lymphocytes in Epstein-Barr virus-negative lymphoepithelial carcinoma of the oral cavity:Report of a case publication-title: J Oral Maxillofac Surg Med Pathol doi: 10.1016/j.ajoms.2017.03.008 |
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| Title | Lymphoepithelial carcinoma of tongue - Devil in garbs of Hodgkin lymphoma: A case report and review of literature |
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