Lymphoepithelioma-like carcinoma of the parotid gland in a patient with rheumatoid arthritis

Clin Exp Rheumatol. 2002 Nov-Dec;20(6):848-50.

Abstract

Lymphoepithelioma-like carcinoma (LELC) is an Epstein-Barr virus (EBV) related malignancy. It is not a common condition and is usually found in the head and neck region. We describe the development of LELC involving the parotid gland in a patient with rheumatoid arthritis (RA) who had been receiving long-term azathioprine. A brief review is also made on the clinical presentation and histological features of LELC and the association of RA with EBV related diseases. The latter may be attributed to an increase in risk of malignancy associated with RA or as a result of the long-term immunosuppressive used.

Publication types

  • Case Reports

MeSH terms

  • Antirheumatic Agents / therapeutic use
  • Arthritis, Rheumatoid / complications*
  • Arthritis, Rheumatoid / drug therapy
  • Arthritis, Rheumatoid / pathology
  • Azathioprine / therapeutic use
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / virology*
  • Epstein-Barr Virus Infections / complications*
  • Epstein-Barr Virus Infections / pathology
  • Female
  • Herpesvirus 4, Human* / genetics
  • Herpesvirus 4, Human* / isolation & purification
  • Humans
  • Immunocompromised Host
  • In Situ Hybridization
  • Middle Aged
  • Parotid Neoplasms / pathology
  • Parotid Neoplasms / virology*
  • RNA-Binding Proteins / analysis
  • Ribosomal Proteins*

Substances

  • Antirheumatic Agents
  • RNA-Binding Proteins
  • Ribosomal Proteins
  • RPL22 protein, human
  • Azathioprine