In 1981 Weemaes et al. first described the Nijmegen breakage syndrome (NBS)
, a rare autosomal recessive disorder characterized by stunted growth, micr
ocephaly, immunodeficiency, spontaneous chromosome instability, and a pecul
iar predisposition to cancer development. Most NBS-related malignancies are
lymphomas, but their pathologic features have rarely been specified. We re
port here the case of a northern Italian 8-year-old child who, 2 years afte
r the diagnosis of NBS, developed a diffuse large B-cell lymphoma (T cell-r
ich B-cell lymphoma variant). The histological and immunobiological feature
s of the lymphoma population are analyzed and discussed in detail.