Primary Hodgkin lymphoma of the lung arising with hemoptysis and pulmonary consolidation: a case report

• Main Authors: Pietro Bertoglio, Ivan Lomangino, Giulia Querzoli, Angela Bonalumi, Giuseppe S. Bogina, Alberto C. Terzi
• Format: Article
• Language: English
• Published: PAGEPress Publications 2021-06-01
• Series: Monaldi Archives for Chest Disease
• Subjects: Lymphoma; Pulmonary Primary Extranodal classic Hodgkin Lymphoma; lung resection; haemoptysis
• Online Access: https://monaldi-archives.org/index.php/macd/article/view/1781

Classic Hodgkin lymphomas are neoplasms originating from lymphoid tissue. Primary extranodal classic Hodgkin lymphoma (PE-cHL) of the lung is rare. A 37-year-old Caucasian male was referred to our hospital for recurrent episodes of hemoptysis, cough and bronchitis. A CT scan showed a massive left upper lung consolidation, which was positive at the PET scan. After several inconclusive tests and no benefit from medical therapies, the patient underwent a left upper lobectomy; pathology report showed a classical type Hodgkin lymphoma with no lymph-nodes involvement. Four cycles of adjuvant chemotherapy were administered with no toxicity. At the last follow up 14 months after surgery, the patient is alive and free from disease. Primary extranodal classical Hodgkin lymphoma of the lung is a rare entity, but it should be considered as a differential diagnosis in young patients with pulmonary consolidation even without systemic symptoms.