Primary cerebellar T-cell lymphoma with acquired immunodeficiency syndrome.

We report a 33-year-old man with the acquired immunodeficiency syndrome (AIDS) and a solitary T-cell lymphoma. Systemic sites of lymphomatous involvement could not be identified. Subtotal resection of the lesion with cranial irradiation resulted in a marked neurologic improvement. Our case suggests that T-cell lymphomas should be considered in the differential diagnosis of a solitary mass of the cerebellum in patients with AIDS and that aggressive therapy may be warranted.