Objective:Toinvestigatetheclinicalfeaturesandthereasonofmisdiagnosisofconsolidativeprimarypulmonarylymphoma.Methods:Retrospectivestudywasconductedforthreecaseswithconsolidativeprimarypulmonarylymphoma(PPL).Therelevantliteraturesofprimarypulmonarylymphomainrecentyearswerealsoreviewed.Results:Allpatientshadbeenmisdiagnosedforalongtimeduetothenon-specificclinicalfeatures.Conclusion:ConsolidativePPLisdifficulttodiagnoseandismisdiagnosedfrequentlyinclinic.DefinitivediagnosisofPPLrequiresanadequatebiopsyspecimen.Themostimportantprognosticfactoristhehistology.