Abstract We conducted a hospital-based case–control study to explore the association between proximity to various land use types and childhood leukemia and lymphoma. This research involved 428 cases of childhood leukemia and lymphoma (2016–2021), along with a control group of 428 children aged 1–15 in Tehran. We analyzed the risk of childhood cancer associated with land use by employing logistic regression adjusted for confounding factors such as parental smoking and family history. The odds ratio (OR) for children with leukemia and lymphoma residing within 100 m of the nearest highway was 1.87 (95% CI = 1.00–3.49) and 1.71 (95% CI = 1.00–2.93), respectively, in comparison to those living at a distance of 1000 m or more from a highway. The OR for leukemia with exposure to petrol stations within 100 m was 2.15 (95% CI = 1.00–4.63), and for lymphoma it was 1.09 (95% CI = 0.47–2.50). A significant association was observed near power lines (OR = 3.05; 95% CI = 0.97–9.55) within