Ketamine in the management of a case of lymphosarcoma cutis.

A white female child weighing 3.4 kg at birth after a forceps delivery was found to have bilateral congenital dislocation of the hip, which was successfully treated conservatively without anaesthesia, but was otherwise normal on clinical examination. When 7 months old, she presented with a 3-month history of symptomless tumours of the scalp, face, upper back and groin, and biopsy revealed lymphosarcoma. The 5-year survival rate in children with this condition is 9.35%, and 13.2% for those without leukaemia. The mortality rate is 50% in the first 6 months of the disease. Death may result from leukaemia (30%) or metastases to central neurological tissues (Pochedly, 1965; Jones and Klingsberg,