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- Page navigation anchor for Follicular lymphoma of the ear lobe in a six-year old girl?Follicular lymphoma of the ear lobe in a six-year old girl?The summary on Lyme disease recently published in this Journal,1 encouraged the submission of this case report which we consider to be of additionally interest for the readers of BJGP.Case report: A 6-year-old girl experienced an indolent swelling and right earlobe redness without further abnormalities [Fig. 1A]. After unsuccessful local treatment with antibiotic ointment, a biopsy was performed four weeks later. Histopathological findings were interpreted as typical paediatric follicular lymphoma (pFL) by a pathology reference institution experienced in lymphoma diagnostics in adults [Fig. 1B]. Consecutively the girl was referred to a paediatric haemato-oncology center. Ultrasound examination of the earlobe showed inhomogeneous, hyperechoic tissue with increased blood flow and multiple inhomogeneous lymph nodes (maximum diameter 25 millimeters) with increased blood flow at both jaw angles. According to a paediatric lymphoma treatment protocol2 standardized staging procedures including invasive tests (spinal tap, bone marrow puncture, imaging procedures with exposure to X-rays) unraveled no further pathological findings.Figure 1: A) Swelling and redness of the right ear lobe (arrow) caused by borrelial lymphocytoma. The photo was taken five weeks afte...Show MoreCompeting Interests: None declared.