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ArticleFrontiers in oncology2025

Case Report: Epstein-Barr virus negative lymphoepithelioma-like cholangiocarcinoma: a rare tumor that deserves further exploration. Report of a case with distinct genomic and clinical features.

Salvatore Corallo, Chiara Milani, Alessandro Vanoli, Anna Gallotti, Anna Pagani, Francesco Serra, Marcello Maestri, Valentina Ravetta, Angioletta Lasagna, Paolo Pedrazzoli and 1 more

Abstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Salvatore CoralloDepartment of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy.
Chiara MilaniDepartment of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy.
Alessandro VanoliDepartment of Molecular Medicine, University of Pavia, Pavia, Italy.
Anna GallottiInstitute of Radiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Anna PaganiUnit of Oncology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Francesco SerraUnit of Oncology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Marcello MaestriDivision of General Surgery 1, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Valentina RavettaGastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Angioletta LasagnaUnit of Oncology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Paolo PedrazzoliDepartment of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy.
Francesco AgustoniDepartment of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lymphoepithelioma-like cholangiocarcinoma (LEL-CC) is a rare variant of cholangiocarcinoma characterized by undifferentiated malignant epithelial cells and a significant lymphoid infiltrate. Due to its rarity, there is currently no established treatment protocol for LEL-CC, and limited data are available regarding the genomic landscape of this rare tumor. In this report, we present the case of an 84-year-old woman with a history of Hepatitis C-related cirrhosis who was diagnosed with EBV-negative LEL-CC. This tumor presented as a double primary tumor together with a moderately differentiated hepatocellular carcinoma, at the time of first diagnosis. After surgical resection, the patient experienced a relapse with intracolonic metastasis. Comprehensive genomic profiling revealed unique genetic features consistent with LEL carcinoma of other sites of origin. The genetic and clinical characteristics of our case highlight the need for further research on this rare variant of cholangiocarcinoma. Gaining insights into the molecular mechanisms behind this type of cancer could lead to the development of effective targeted therapies or immunotherapeutic approaches.

Indexed as

EBV-negative cholangiocarcinomaHCC-CC double primary tumorHCV-related cirrhosisintracolonic metastasislymphoepithelioma-like cholangiocarcinoma

Identifiers

PMID40831929
PMCPMC12358292

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.