A patient who developed primary brain lymphoma 6 years following whole
brain irradiation due to a low-grade glioma is described. The patient
had no evidence of congenital or acquired immunodeficiency state and
achieved a good and prompt response to aggressive chemotherapy, includ
ing high-dose methotrexate. The previous radiation therapy is implicat
ed in the etiology of the lymphoma because of the geometric coincidenc
e, the relatively long latency period and the different histology. A b
rief review of current literature is reported.