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Background  Dissemination of lung cancer to cutaneous sites usually results in a poor prognosis. Pulmonary lymphoepithelioma-like carcinoma (PLELC) is a rare tumor, and no therapeutic strategy for it has yet been established. We present herein an extremely rare case of a long-term surviving patient with PLELC showing subcutaneous metastasis.    Case presentation  A 76-year-old woman was diagnosed unexpectedly as having PLELC based on a nodule on her back. After surgical resection of the primary and metastatic lesions, she has remained alive with no recurrence for over 5 years without any additional therapy.    Conclusion  Even in the case of PLELC with subcutaneous metastasis, surgical management may afford a prognosis of long-term survival.    Electronic supplementary material  The online version of this article (10.1186/s12957-019-1671-z) contains supplementary material, which is available to authorized users.

Clinical silence of pulmonary lymphoepithelioma-like carcinoma with subcutaneous metastasis: a case report