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A 22-year-old male patient admitted to the hospital with a left hilar mass and pleural effusion was diagnosed as lymphoepithelioma-like carcinoma (LELC) of the lung, which is an unusual tumour most commonly seen in Asians. The patient had stage IIIB disease with metastatic paraaortic lymph node and pulmonary vein involvement. He received chemo-radiotherapy. Sequential radiotherapy in combination with three cycles of cisplatin and 5-fluorouracil was given. The patient was alive and active four years after the diagnosis.