A case of primary pleural non-Hodgkin lymphoma in a 2.5-year-old girl is re
ported. The patient had pleural involvement as the initial and only manifes
tation of the disease. Histopathalogic examination showed lymphoblastic lym
phoma of T-cell origin. The child received the modified LSA2-L2 protocol. D
uring the maintenance treatment, she had an isolated central nervous system
replace and died of neutropenic sepsis. To the authors' knowledge this rep
resents the first case report of primary pleural lymphoma in the childhood
period.