Lymphomas involving the mediastinum occur in a wide age range and represent heterogeneous histological subtypes with various clinical symptoms and complex radiological findings. However, this cross sectional study that describes the clinical, pathological and radiological features of Bangladeshi pediatric patients aged less than 18 years. The study conducted in National Institute of Cancer Research and Hospital with 71 primary pediatric mediastinal masses, diagnosed between 2014 and 2018 and evaluated at enrollment or admission in the department of Pediatric Hematology and Oncology (PHO). The presence of extra thoracic lymph node involvement was excluded from the study. All patients were underwent computerized tomography (CT) or ultra sound (USG) guided needle biopsy. Only diagnosed cases of lymphoma (N-38) with mediastinal mass on chest radiography or CT scan were taken for analysis. Mediastinal lymphoma was 38 in number which, 16.30% of total (N-233) pediatric lymphoma of PHO. The median age of the patients was 11.43 years with mostly (68.42%) in 10-17 years age group. Males and females were equal in number. Common symptoms of the patients were fever, cough, dyspnea, chest pain. Most common side involved by tumors were anterior mediastinum 68.42% (N-26) followed by middle mediastinum 50% (N-19), Posterior mediastinum 10.53% (N-4) and superior mediastinum 7.9% (N-3). More than one mediastinal anatomical side involvement was in 34.21% (N-13) cases. Tissue biopsy revealed non Hodgkin Lymphoma were 86.84% (N-33), Hodgkin Diseases 10.53% (N-4) and T-lymphoblastic lymphoma (LBL) 2.63% (N-1). All tumors were malignant with 73.68% metastasis. Pediatric mediastinal mass is a troublesome condition for doctors during emergency management at presentation, for interventional radiologists during tissue biopsy, pathologists during histopathological examination and oncologists during treatment planning. A few publications narrated the pediatric mediastinal oncological conditions but in Bangladesh no such study has conducted before addressing the pediatric mediastinal lymphoma. So we conducted this study to show the importance of development of infrastructure to manage these type of tumors successfully.

Rosai-Dorfman Disease (RDD) is a rare disorder which usually associated with enlargement various superficial or deep lymph nodes. Clinical course of this disease is prolonged with exacerbation and remission phases occasionally. Over-production and accumulation of a specific type of white blood cell called histiocyte occurred in the lymph nodes of the body, mostly on the the neck. Other lymph node groups and in some cases, extra nodal abnormal accumulation of histiocytes may occur in other areas of the body that is more common in the head and neck region. Here we discussed a patient with extra-nodal involvement who presented with bilateral orbital mass.

Background: Since time immemorial, most Asian cultures have practiced baby massage.[1],[2] Studies employing massage alone as a kind of tactile stimulation or massage with some type of vegetable oil revealed the effect of massage on development in preterm newborns.[1] Depending on area availability, several oil-based formulations have been utilized.[2] However, the oils utilized may range from possibly useful to potentially poisonous. Aim of the study: The aim of the study was conducted to observe the preference of different oil types among the caregivers for infant massage. Methods: This cross-sectional descriptive study was conducted at the Out Patient Department of Pediatrics, Sir Salimullah Medical College, Mitford Hospital, Dhaka, Bangladesh. The study duration was one year, from July 2010 to June 2011. All the mothers/caregivers of infants who attended Pediatric OPD of Sir Salimullah Medical College, Mitford Hospital, Dhaka during the study period were initially selected for this study. Result: The mean ±SD age of the babies was 6.04+3.97 months. The age range of the babies was 8 days-12 months. Fifty-four (37.0%) participant babies were in age group 9-12 months, 52(35.6%) babies in age group 0-4 months and 40(27.4%) in age group 5-8 months. Among the participants 82 (56.9%) babies were male and 62 (43%) babies were female. The male-female ratio is 1.3:1. Majority of the caregivers found no problem with massage oil (94.44%). Rashes developed in 3(2.08%) cases, vomiting in 2(1.39%) cases and fever in 2(1.39%) cases and cold in 1(0.69%) case. Conclusion: The study showed a preference of using mustard oil for oil massage among participants. Most of the infants received oil massage twice or thrice daily.