Hodgkin's disease presenting in epitrochlear lymph nodes.

A patient who had clinical stage IA Hodgkin's disease involving a single group of epitrochlear nodes is presented. A few patients with this disease have been reported to have involvement of epitrochlear lymph nodes, but none have had disease limited to this nodal site. At staging laparotomy a single focus of Hodgkin's disease was found in the spleen. Theoretical aspects of the mode of spread of Hodgkin's disease are discussed with respect to this case.