A rare case of primary pulmonary Hodgkin’s lymphoma

ABSTRACT

A 46 years old male presented with fever, chest pain, dry cough, weight loss, and breathlessness over the preceding 3 months. CT scans of thorax revealed diffuse sclerosis with multiple ill-defined small erosion and pleural thickening of the right lung with bulky lymph node in a subcarinal region measuring approximately 13.5×11×27.5 mm and 20×5 mm soft tissue parenchymal lesion in a right apical zone. Examination of pleural fluid cytology was not diagnostic. Bronchoscopic fluid cytology was also not contributory. Hilar and pre aortic lymph node biopsies showed only reactive change. Video-assisted thoracoscopic surgery (VATS) with biopsy from all suspicious areas of lung and pleura was taken, which on evaluation confirmed the diagnosis of primary pulmonary Hodgkin’s lymphoma. We present here a rare case of primary pulmonary Hodgkin’s lymphoma with a review of the literature.