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Case Reports in Medicine
Volume 2014, Article ID 509837, 4 pages
Case Report

An Unusual Presentation of Primary Lymphoma of the Ilium

1Department of Orthopaedics, Unit 1, Christian Medical College, Vellore, India
2Department of Pathology, Christian Medical College, Vellore, India

Received 8 June 2014; Accepted 7 August 2014; Published 8 September 2014

Academic Editor: Martin G. Mack

Copyright © 2014 Mohamad Gouse et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.