文献指出,何杰金氏病约15～40%的患者其病变累及肺部,临床所见多属晚期,无肺门或纵隔淋巴结肿大的原发肺实质何杰金氏病实属罕见,本文报告一例. 患者34岁,白人男性.感周身不适体重减轻一年,干咳8个月,但无吸呼困难、胸痛、发热和盗汗.最近因咳血腥味痰.胸片发现左上肺肿块而住院观察治疗.该患者无抽烟嗜好.无化学毒物接触史. According to the literature, about 15% to 40% of patients with Hodgkin’s disease have lesions involving the lungs. Most of the patients are clinically diagnosed with advanced stages. The primary lung parenchyma with no hilar or mediastinal lymphadenopathy is indeed rare. This article reports one case. The patient was 34 years old and the white man had a feeling of general disability and weight loss for one year, dry cough for 8 months, but there was no inhalation difficulty, chest pain, fever, and night sweats. He recently suffered from hemoptysis and misdiagnosis. The chest radiograph revealed a mass in the left upper lung. Observed and treated in hospital. The patient had no smoking habits. There was no history of exposure to chemical poisons.