• Hao Tang, Yutao He, Long Wang, Guomin Wu, Lina Wang, Yujuan Xu, and Deyu Guo.
• Department of Pathology, Guiqian International General Hospital, Guiyang, Guizhou Province, China.
• Medicine (Baltimore). 2022 Dec 16; 101 (50): e32157e32157.

RationalePrimary pulmonary meningioma (PPM) is extremely rare tumor and only a few reports have been reported to date. PPM may be overlooked when it coexists with other types of tumors in the lung. It is essential to have a knowledge of the clinicopathological features of PPM and to recognize this rare coexistence.Patient ConcernsA 57-year-old male underwent surgery for papillary renal cell carcinoma, when 2 pulmonary nodules were detected using chest computed tomography.DiagnosisThe coexistence of benign PPM and metastatic papillary renal cell carcinoma was histologically confirmed.InterventionsA lobectomy was performed.OutcomesThe patient recovered well after surgery and was discharged on postoperative day 4.LessonsDuo to the rarity of PPM, it is easily overlooked, especially when it coexists with other tumors in the lung. The possibility of PPM needs to be taken into account when diagnosing pulmonary nodules in clinical practice.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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