A 33 year old male came with rapidly growing left inguinal lymph node mass, low-grade fever, loss of weight and severe debility over 2 months. There was no contact with tuberculosis. Examination showed: 6 x 8 cm size painless, firm, left inguinal lymph node mass; small bilateral axillary and cervical lymphadenopathy. Liver and spleen were not palpable. There was pitting edema of left leg.