title: An unusual presentation of primary lymphoma of the ilium.
abstract: 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.
authors.affiliation: Department of Orthopaedics, Unit 1, Christian Medical College, Vellore, India.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Gouse
authors.affiliation: Department of Orthopaedics, Unit 1, Christian Medical College, Vellore, India.
authors.forename: Viswanath
authors.initials: V
authors.lastname: Jayasankar
authors.affiliation: Department of Pathology, Christian Medical College, Vellore, India.
authors.forename: Manika
authors.initials: M
authors.lastname: Alexander