Indian Journal of Pathology and Microbiology
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Year : 2018  |  Volume : 61  |  Issue : 1  |  Page : 85-89

A perplexing primary novel hilar lesion: Remember the pneumonic PPNHL!

1 Department of Pulmonary Medicine, TNMC and BYL Nair Hospital, Mumbai, Maharashtra, India
2 Department of Pathology, TNMC and BYL Nair Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Jyotsna M Joshi
Department of Pulmonary Medicine, 2nd Floor, OPD Bldg, TNMC and BYL Nair Hospital, Al Nair Road, Mumbai Central, Mumbai - 400 008, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJPM.IJPM_71_17

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A 60-year-old female presented with dyspnea, cough, and chest pain with a left hilar mass lesion. In our case, clinicoradiological correlation, bronchoscopy, and computed tomography-guided biopsy revealed the diagnosis of primary pulmonary non-Hodgkin's lymphoma (PPNHL) on histopathology and immunohistochemistry. We discuss the approach to hilar masses. PPNHL is a rare malignant lymphoma most common being mucosa-associated lymphoid tissue lymphoma. Various therapeutic options are available. The chemotherapy regimen consisting of CHOP (cyclophosphamide, doxorubicin, vincristine, prednisolone) is preferred.

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