HODGKIN'S LYMPHOMA IN AN UNDER FIVE YEARS OLD CHILD: A CASE REPORT

Lymphoreticular malignancy is an important group of neoplasm in paediatric age group. It constitutes about 15% of malignancy in children. CASE REPORT A girl child aged 4 years presented with complaints of slow painless progressive swelling arising from the anterior aspect of the neck for last 2 years, which started as a small nodule on right side of the neck, but gradually increased to present size. On examination swelling was large sized, irregular shape, rubbery in feel, not moving very freely and not attached to skin. X-ray chest showed extensive mediastinal and parahilar lymphadenopathy. FNAC shows binocular cells with prominent nucleoli are seen, which are suggestive of 'Reed Sternberg cells.' Chemotherapy started for the patient and six-month follow-up shows reduction of lymph node size. DISCUSSION Though Non-Hodgkin's lymphoma is seen more commonly in children, but Hodgkin's disease is a rare presentation.