• BMJ case reports · Sep 2013

    Case Reports

    Giant thoracic mass: an unusual presentation of primary pulmonary Hodgkin's lymphoma.

    • Philip James McElnay, Joya Pawade, Ladli Chandratreya, and Douglas West.
    • University Hospitals Bristol, Bristol, UK.
    • BMJ Case Rep. 2013 Sep 18; 2013.

    AbstractPrimary pulmonary Hodgkin's lymphoma (PPHL) is rare. PPHL without peripheral lymphadenopathy or hepatosplenomegaly is exceptionally uncommon. We present a 61-year-old woman believed to have a solitary intrapulmonary fibrous tumour on a CT and a CT-guided biopsy, until surgical excision. Histopathology and immunohistochemistry of the excised mass confirmed PPHL. PPHL is a very rare differential diagnosis of large solitary intrapulmonary masses. A CT-guided biopsy is recommended, as it can be diagnostic, reserving excision for cases where the diagnosis remains in doubt.

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