There have been few reports of late secondary malignancies following of Hodgkin Lymphoma treatment. Synchronous lung cancer and Hodgkin lymphoma at the age of fifty where it makes its second peak is rare. A 42 year old male patient had symptom with dysphagia, night sweat, weight loss and weakness. His chest radiography revealed a nodular opacity in the right upper zone and enlarged bilateral hilar region and mediastinum. Thorax computerized tomography revealed a solitary pulmonary nodule in the right upper lobe and multiple mediastinal lymphadenopthy. His physical examination revealed right supraclavicular lymphadenopathy. Scalene lymph node biyopsy revealed classical Hodgkin lymphoma. The lung lession thought to be a second primary lession and hence right posterolateral thoracothomy was performed, in frozen pathological examination nodule was a non small cell lung cancer, and lymph nodes were Hodgkin lymphoma. Thus, upper lobectomy and mediastinum lymph nodes dissection were done. The postoperative pathology revealed pleomorphic carcinoma in the resected tumor and Hodgkin lymphoma invasion in the lymph nodes. In the postoperative period, he received chemotherapy and radiotherapy for Hodgkin lymphoma. The patient 5 years after surgery is well.