Abstract
Lymphoepithelioma-like carcinoma (LELC) of the lung is a rare disease, classified as a variant of large cell carcinoma of the lung according to the World Health Organization's histologic typing of lung and pleural tumors. In a 74-year-old man, rectal carcinoma was diagnosed. Chest CT examination revealed a 10-mm nodular shadow in S2 of the right lung, suggesting either primary lung carcinoma or a metastatic lung tumor. A right upper lobectomy was performed under thoracoscopic surgery. The histopathological diagnosis was LELC, T1N0M0: stage I A. The association with Epstein-Barr virus was not be demonstrated by EBER in situ hybridization. The patient was free from the disease at 18 months after surgery. We report a rare case of LELC.