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The authors report a case of primary ovarian non Hodgkin malignant lymphoma in a 41-year-old multiparous woman. An ovarian tumor was diagnosed in a context of hypogastric distention and discomfort. A total hysterectomy was performed with bilateral uterine appendectomy. The intra-abdominal organs were not affected and there were no internal adenopathies. The pathology examination concluded that this was a highly malignant, non-Hodgkin lymphoma. The findings of the extension assessment were negative. Five cycles of drastic chemotherapy combining bleomycin, adriamycin, cyclophosphamide, vincristine, methotrexate, iphosphamide, cisplatyl, VP-16 and ara-C have been administered and will be followed by abdominal radiotherapy. The patient is considered to be in a state of complete remission with a follow-up period of four years.