
Tripe palms and Malignant Acanthosis Nigricans: More than a diagnostic pointer
Author(s) -
Kumar Parmod,
Mukundan Megha K,
Sehrawat Amit,
Sundriyal Deepak
Publication year - 2021
Publication title -
cancer reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 5
ISSN - 2573-8348
DOI - 10.1002/cnr2.1307
Subject(s) - acanthosis nigricans , malignancy , medicine , dermatology , abdominal distension , work up , ovarian cancer , cancer , clinical significance , pathology , surgery , insulin resistance , obesity
Background Tripe palms (TP) is one of the rare cutaneous paraneoplastic manifestations of various intra‐abdominal malignancies. TP and malignant acanthosis nigricans (MAN) occur together and may precede even years before the index cancer. Though rare, the clinical significance of TP and MAN holds significance as an indicator of internal malignancy. Case Here, we describe 71‐year, postmenopausal female with ovarian cancer who presented to us with a history of dyspepsia, abdominal distension, and weight loss. On detailed history and evaluation, it was found that she had TP and MAN 4 years before diagnosis. Conclusion The unique presentation preceding the primary illness necessitates extensive early work‐up to look for malignancy and the initial consideration for surgery due to the tumor biology in such patients.