期刊论文详细信息
Diagnostic Pathology
Lymphoepithelioma-like carcinoma of the stomach: a case report and review of the literature
Leticia Quintanilla-Martinez1  Falko Fend1  Zeid Bittar1 
[1] Institute of Pathology, University Hospital Tuebingen, Eberhard-Karls-University, Liebermeisterstrasse 8, Tuebingen 72076, Germany
关键词: Prognosis;    Microsatellite instability;    EBV;    Lymphoepithelioma-like carcinoma;   
Others  :  804015
DOI  :  10.1186/1746-1596-8-184
 received in 2013-07-30, accepted in 2013-10-26,  发布年份 2013
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【 摘 要 】

A lymphoepithelioma-like carcinoma (LLC), characterized by a carcinoma with stromal heavy lymphocyte infiltration, is one of the histological patterns observed in patients with Epstein-Barr virus (EBV)-associated gastric carcinoma. Although this entity is hard to be recognized in the biopsy specimens, pathologists and clinicians should acknowledge this subset of gastric cancer because it generally has a better prognosis than other forms of EBV-associated gastric carcinomas and conventional gastric carcinomas. This might be due to the fact that the patient's inflammatory response may prevent the spread of tumor through the gastric wall and to the lymph nodes or remote organs.

We report a case of EBV-positive, microsatellite stable LLC as a rare morphologic variant of gastric carcinoma.

Virtual slides

The virtual slides for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/1360498724104351 webcite.

【 授权许可】

   
2013 Bittar et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Watanabe H, Enjoji M, Imai T: Gastric carcinoma with lymphoid stroma: its morphologic characteristic and prognostic correlations. Cancer 1976, 38:232-243.
  • [2]Torlakovic G, Snover DC, Torlakovic E: Simultaneous EBV-positive lymphoepithelioma-like carcinoma and EBV-negative intestinal type adenocarcinoma in a patient with Helicobacter pylori–associated chronic gastritis. Am J Clin Pathol 2004, 121:237-243.
  • [3]Horiuchi K, Mishima K, Ohsawa M, et al.: Carcinoma of stomach and breast with lymphoid stroma: localization of Epstein Barr virus. J Clin Pathol 1994, 47:538-540.
  • [4]Corvalan A, Koriyama C, Akiba S, et al.: Epstein-Barr virus in gastric carcinoma is associated with localization in the cardia and with a diffuse histology: a study in one area of Chile. Int J Canc 2001, 94:527-530.
  • [5]Grogg KL, Lohse CM, Pankratz VS, et al.: Lymphocyte-rich gastric cancer: association with Epstein-Barr virus, microsatellite instability, histology and survival. Mod Pathol 2003, 16:641-651.
  • [6]Fukayama M, Ushiku T: Epstein-Barr virus-associated gastric carcinoma. Pathol Res Pract 2011, 207:529-537.
  • [7]Takada K: Epstein-Barr virus and gastric carcinoma. Mol Pathol 2000, 53:255-261.
  • [8]Hiroshi S, Akinori N, Masayuki K, et al.: Oesophageal and gastric cancer. J Gastroenterol Hepatol 1999, 14:534-539.
  • [9]Iwashita A, Ueyama T, Yamada Y, et al.: Clinicopathological study on medullary carcinoma with lymphoid stroma of the stomach. I to Cho (Stomach and Intestine) 1991, 10:1159-1166. [Japanese with English abstract]
  • [10]Minamoto T, Mai M, Watanabe K, et al.: Medullary carcinoma with lymphocytic infiltration of the stomach. Clinicopathologic study of the subpopulations of infiltrating lymphocytes in the tumor. Cancer 1990, 66:945-952.
  • [11]Shibata D, Tokunaga M, Uemura Y, et al.: Association of Epstein-Barr virus with undifferentiated gastric carcinomas with intense lymphoid infiltration, lymphoepithelioma-like carcinoma. Am J Pathol 1991, 139:469-474.
  • [12]Beek JV, Hausen AZ, Kranenbarg EK, et al.: EBV-positive gastric adenocarcinomas: a distinct clinicopathologic entity with a low frequency of lymph node involvement. J Clin Oncol 2004, 22:664-670.
  • [13]Chang MS, Kim WH, Kim CW, et al.: Epstein-Barr virus in gastric carcinomas with lymphoid stroma. Histopathology 2000, 37:309-315.
  • [14]Kang GH, Lee S, Kim WH, et al.: Epstein-Barr virus–positive gastric carcinoma demonstrates frequent aberrant methylation of multiple genes and constitutes CpG island methylator phenotype-positive gastric carcinoma. Am J Pathol 2002, 160:787-794.
  • [15]Shibata D, Weiss LM: Epstein-Barr virus–associated gastric adenocarcinoma. Am J Pathol 1992, 140:769-774.
  • [16]Uemura Y, Tokunaga M, Arikawa J, et al.: A unique morphology of Epstein-Barr virus related early gastric carcinoma. Canc Epidemiol Biomarkers Prev 1994, 3:607-611.
  • [17]Vo QN, Geradts J, Gulley ML, et al.: Epstein-Barr virus in gastric adenocarcinomas: association with ethnicity and CDKN2A promoter methylation. J Clin Pathol 2002, 55:669-675.
  • [18]Osato T, Imai S: Epstein-Barr virus and gastric carcinoma. Semin Canc Biol 1996, 7:175-182.
  • [19]Kaneda A, Kaminishi M, Yanagihara K, et al.: Identification of silencing of nine genes in human gastric cancers. Canc Res 2002, 62:6645-6650.
  • [20]Hino R, Uozaki H, Murakami N, et al.: Activation of DNA methyltransferase 1 by EBV latent membrane protein 2A leads to promoter hypermethylation of PTEN gene in gastric carcinoma. Canc Res 2009, 69:2766-2774.
  • [21]Chang MS, Uozaki H, Chong JM, et al.: CpG island methylation status in gastric carcinoma with and without infection of Epstein-Barr virus. Clin Canc Res 2006, 12:2995-3002.
  • [22]Lee JH, Park SJ, Abraham SC, et al.: Frequent CpG island methylation in precursor lesion and early lesions and early gastric adenocarcinomas. Oncogene 2004, 23:4646-4654.
  • [23]Chang MS, Lee HS, Kin CW, et al.: Clinocopathologic characteristics of Epstein-Barr virus-incorporated gastric cancers in Korea. Pathol Res Pract 2001, 197:395-400.
  • [24]Chong JM, Fukayama M, Hayashi Y, et al.: Microsatellite instability in the progression of gastric carcinoma. Canc Res 1994, 54:4595-4597.
  • [25]Leung SY, Yuen ST, Chung LP, et al.: Microsatellite instability, Epstein Barr virus, mutation of type II transforming growth factor receptor and BAX in gastric carcinomas in Hong Kong Chinese. Br J Canc 1999, 79:582-588.
  • [26]Ojima H, Fukuda T, Nakajima T, et al.: Infrequent overexpression of p53 protein in Epstein-Barr virus–associated gastric carcinomas. Jpn J Canc Res 1997, 88:262-266.
  • [27]Leung SY, Chau KY, Yuen ST, et al.: p53 overexpression is different in Epstein-Barr virus–associated and Epstein-Barr virus–negative carcinoma. Histopathology 1998, 33:311-317.
  • [28]Fukayama M, Chong JM, Kaizaki Y: Epstein-Barr virus and gastric carcinoma. Gastric Canc 1998, 1:104-114.
  • [29]Kijima Y, Ishigami S, Hokita S, et al.: The comparison of the prognosis between Epstein-Barr virus (EBV)–positive gastric carcinoma and EBV-negative ones. Canc Lett 2003, 200:33-40.
  • [30]Beghelli S, de Manzoni G, Barbi S, et al.: Microsatellite instability in gastric cancer is associated with better prognosis in only stage II cancers. Surgery 2006, 139:347-356.
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