McElnay Philip James, Pawade Joya, Chandratreya Ladli, West Douglas
University Hospitals Bristol, Bristol, UK.
BMJ Case Rep. 2013 Sep 18;2013:bcr2013200909. doi: 10.1136/bcr-2013-200909.
Primary 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.
原发性肺霍奇金淋巴瘤（PPHL）较为罕见。无外周淋巴结肿大或肝脾肿大的PPHL极为少见。我们报告一例61岁女性，在CT及CT引导下活检时被认为患有孤立性肺内纤维瘤，直至手术切除。切除肿块的组织病理学和免疫组化检查确诊为PPHL。PPHL是大型孤立性肺内肿块极罕见的鉴别诊断。建议进行CT引导下活检，因为其具有诊断性，对于诊断仍存疑问的病例保留切除手段。
