Leprosy, one of the oldest diseases of mankind, caused by Mycobacterium leprae is endemic in many tropical and sub-tropical countries including Bangladesh. It is estimated that 10-12 million peoples all over the world are affected1 . Leprosy is a multisystem disease, predominantly affects the skin and nerves2 . But it can affect lymph nodes, liver, spleen, bone marrow, eyes, nasal mucosa, hard and soft palate, larynx and testes. In leprosy especially in lepromatous patients, various groups of lymph nodes like the axillary, cervical, supratrochlear lymph nodes are affected3,4. The enlargement of lymph node in leprosy may simulate tuberculous or neoplastic etiology.