Abstract

Lymhoepithelioma-like carcinoma is a rare form of lung cancer. Epstein-Barr virus infection has a basic role in the tumourogenesis of the Lymhoepithelioma-like carcinoma. Although it is strongly associated with Epstein-Barr virus infection in Asian patients, there is controversy over whether an association exists in patients from Western counties. The curative surgical resection is adequate for early-stage disease but for the metastatic disease the choice of treatment is chemotherapy. The overall survival is more favourable in Lymhoepithelioma-like carcinoma compared with non-small cell lung cancinoma. Curative surgical resection was performed in the patient who was asyptomatic and had an incidentally discovered solitary pulmonary nodule on chest roentgenogram. The positron emission tomography finding especially suggested malignancy. Histopathologically, it was reported as Lymhoepithelioma-like carcinoma and previous exposure to Epstein-Barr virus was documented with IgG antibody test, which is not very specific. Our case was presented with literature findings.