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    Lymphoepithelioma - like

     Carcinoma of Middle Ear


 

                
Lymphoepithelioma-like carcinoma is a rare malignant epithelial tumour. It is considered a subtype of the undifferentiated carcinomas, composed of islands of atypical, large, epithelial cells accompanied by a benign dense lymphoplasmacytic infiltrate. It is usually represented by undifferentiated nasopharyngeal carcinoma, but it has also been described in many other anatomic locations. EBV associated carcinoma with the morphology of lymphoepithelioma can arise from the middle ear. Image Link

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Presence of Epstein-Barr virus in lymphoepithelioma-like carcinoma of the middle ear. J Clin Pathol.1998 Aug;51(8):602-5.

AIM: To examine the association of Epstein-Barr virus (EBV) with carcinoma of the ear. METHODS: Five non-keratinising squamous cell carcinomas and two undifferentiated carcinomas of the ear were examined. In situ hybridisation was used to localised EBV-encoded RNAs (EBER). Immunohistochemical methods to detect LMP-1 and EBNA2 were performed in the EBER positive cases. RESULTS: Two cases were EBER positive, including one non-keratinising and one undifferentiated carcinoma. Both showed identical morphology to those arising from the nasopharynx, with abundant lymphoid stroma. They were both negative for LMP-1 and EBNA2. CONCLUSIONS: EBV associated carcinoma with the morphology of lymphoepithelioma can also arise from the middle ear.


December 2007

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