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CASE REPORT article

Front. Immunol.

Sec. Cancer Immunity and Immunotherapy

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1605900

This article is part of the Research TopicRecent Advances in Radiation Oncology for the Management of Thoracic MalignanciesView all 13 articles

Induction Chemoradiotherapy Achieves Long-Term Recurrence-Free Survival in Locally Advanced Pulmonary Lymphoepithelioma-Like Carcinoma: A Case Report and Literature Review

Provisionally accepted
Haiwen  ChenHaiwen Chen1*Jiexia  ZhangJiexia Zhang1*Gengda  HuangGengda Huang1Ho  HeHo He1Yuting  FanYuting Fan2Qinqin  RenQinqin Ren3Huixin  JiangHuixin Jiang1Li  LuoLi Luo2Li  GuoLi Guo2
  • 1State Key Laboratory of Respiratory Diseases, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
  • 2Guangzhou Medical University, Guangzhou, Guangdong, Guangzhou, China
  • 3Department of Pulmonary and Critial Care Medicine of Jiangbei Campus,The First Affiliated Hospital of Army Medical University, Chongqing, China., Chongqing, China

The final, formatted version of the article will be published soon.

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.

Keywords: Non-small cell lung cancer, Epstein-Barr virus, Lymphoepithelioma-like carcinoma, Induction Chemotherapy, Radical radiotherapy

Received: 04 Apr 2025; Accepted: 18 Jul 2025.

Copyright: © 2025 Chen, Zhang, Huang, He, Fan, Ren, Jiang, Luo and Guo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Haiwen Chen, State Key Laboratory of Respiratory Diseases, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
Jiexia Zhang, State Key Laboratory of Respiratory Diseases, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China

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