Lymphoepithelioma-Like Carcinoma of the Breast: A Case Report Unveiling Several Clinical and Histopathological Challenges

Lymphoepithelioma-like carcinoma (LELC) of the breast is an extremely rare tumor type. Histologically, it mimics undifferentiated nasopharyngeal carcinoma by demonstrating nests of neoplastic epithelial cells in a background of lymphoplasmacytic infiltrates. This paper reports a 62-year-old female p...

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Main Authors: Tarek Aridi, Mohamad Fawwaz, Ahmad Kassab, Marwan Bahmad, Faisal Houcheimi, Mohamad Mshiek, Fouad Boulos, Ali Kanj, Ghassan Ramadan, Hisham F. Bahmad, Najla Fakhruddin
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2018/8240534
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author Tarek Aridi
Mohamad Fawwaz
Ahmad Kassab
Marwan Bahmad
Faisal Houcheimi
Mohamad Mshiek
Fouad Boulos
Ali Kanj
Ghassan Ramadan
Hisham F. Bahmad
Najla Fakhruddin
author_facet Tarek Aridi
Mohamad Fawwaz
Ahmad Kassab
Marwan Bahmad
Faisal Houcheimi
Mohamad Mshiek
Fouad Boulos
Ali Kanj
Ghassan Ramadan
Hisham F. Bahmad
Najla Fakhruddin
author_sort Tarek Aridi
collection DOAJ
description Lymphoepithelioma-like carcinoma (LELC) of the breast is an extremely rare tumor type. Histologically, it mimics undifferentiated nasopharyngeal carcinoma by demonstrating nests of neoplastic epithelial cells in a background of lymphoplasmacytic infiltrates. This paper reports a 62-year-old female patient with a 3 × 1.5 cm BI-RADS type IV breast mass diagnosed on excisional biopsy as LELC. The tumor is negative for estrogen and progesterone receptors and did not overexpress HER2/neu. Routine tests for clearance before surgery were performed, and patient was managed by a modified radical mastectomy with axillary lymph node dissection showing no residual tumor. Surgical CAse REports (SCARE) guidelines were followed for reporting our case. The rarity of LELC of the breast warrants the establishment and implementation of well-defined guidelines and criteria for diagnosis and management.
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id doaj-art-a7ef9c5f669145ccba90f87586ff808b
institution Kabale University
issn 2090-6900
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language English
publishDate 2018-01-01
publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-a7ef9c5f669145ccba90f87586ff808b2025-02-03T01:12:48ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/82405348240534Lymphoepithelioma-Like Carcinoma of the Breast: A Case Report Unveiling Several Clinical and Histopathological ChallengesTarek Aridi0Mohamad Fawwaz1Ahmad Kassab2Marwan Bahmad3Faisal Houcheimi4Mohamad Mshiek5Fouad Boulos6Ali Kanj7Ghassan Ramadan8Hisham F. Bahmad9Najla Fakhruddin10Faculty of Medicine, American University of Beirut, Beirut, LebanonFaculty of Medicine, Beirut Arab University, Beirut, LebanonFaculty of Medicine, Beirut Arab University, Beirut, LebanonFaculty of Medicine, Beirut Arab University, Beirut, LebanonFaculty of Medicine, Beirut Arab University, Beirut, LebanonFaculty of Medicine, Beirut Arab University, Beirut, LebanonDepartment of Pathology and Laboratory Medicine, American University of Beirut Medical Center, Beirut, LebanonDepartment of Radiology, Hammoud Hospital University Medical Center, Saida, LebanonDepartment of General Surgery, Hammoud Hospital University Medical Center, Saida, LebanonDepartment of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine, American University of Beirut, Beirut, LebanonDepartment of Pathology and Laboratory Medicine, American University of Beirut Medical Center, Beirut, LebanonLymphoepithelioma-like carcinoma (LELC) of the breast is an extremely rare tumor type. Histologically, it mimics undifferentiated nasopharyngeal carcinoma by demonstrating nests of neoplastic epithelial cells in a background of lymphoplasmacytic infiltrates. This paper reports a 62-year-old female patient with a 3 × 1.5 cm BI-RADS type IV breast mass diagnosed on excisional biopsy as LELC. The tumor is negative for estrogen and progesterone receptors and did not overexpress HER2/neu. Routine tests for clearance before surgery were performed, and patient was managed by a modified radical mastectomy with axillary lymph node dissection showing no residual tumor. Surgical CAse REports (SCARE) guidelines were followed for reporting our case. The rarity of LELC of the breast warrants the establishment and implementation of well-defined guidelines and criteria for diagnosis and management.http://dx.doi.org/10.1155/2018/8240534
spellingShingle Tarek Aridi
Mohamad Fawwaz
Ahmad Kassab
Marwan Bahmad
Faisal Houcheimi
Mohamad Mshiek
Fouad Boulos
Ali Kanj
Ghassan Ramadan
Hisham F. Bahmad
Najla Fakhruddin
Lymphoepithelioma-Like Carcinoma of the Breast: A Case Report Unveiling Several Clinical and Histopathological Challenges
Case Reports in Surgery
title Lymphoepithelioma-Like Carcinoma of the Breast: A Case Report Unveiling Several Clinical and Histopathological Challenges
title_full Lymphoepithelioma-Like Carcinoma of the Breast: A Case Report Unveiling Several Clinical and Histopathological Challenges
title_fullStr Lymphoepithelioma-Like Carcinoma of the Breast: A Case Report Unveiling Several Clinical and Histopathological Challenges
title_full_unstemmed Lymphoepithelioma-Like Carcinoma of the Breast: A Case Report Unveiling Several Clinical and Histopathological Challenges
title_short Lymphoepithelioma-Like Carcinoma of the Breast: A Case Report Unveiling Several Clinical and Histopathological Challenges
title_sort lymphoepithelioma like carcinoma of the breast a case report unveiling several clinical and histopathological challenges
url http://dx.doi.org/10.1155/2018/8240534
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