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A perplexing primary novel hilar lesion: Remember the pneumonic PPNHL!
Ketaki Utpat1, Unnati D Desai1, Gayathri Amonkar2
1Department of Pulmonary Medicine, TNMC and BYL Nair Hospital, Mumbai, Maharashtra, India.
Abstract:
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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