An Unusual Presentation of Primary Lymphoma of the Ilium

Abstract EN

Primary bone lymphoma involving the pelvic bone is a rare entity.

It does not have distinct clinical features or radiological features that are diagnostic.

Biopsy is the gold standard investigation.

We present a case of primary pelvic lymphoma with initial histopathological features of chronic osteomyelitis.

Upon further clinical follow-up, repeat biopsy of the lesion revealed features of B-cell Non-Hodgkin’s lymphoma, thus emphasizing the need for a high index of suspicion and close clinical follow-up.

This case is presented for the diagnostic dilemma and the unique feature of lymphomatous lesion mimicking chronic osteomyelitis in its early stages.