Tripe palm: a paraneoplastic manifestation of carcinoma stomach

Arun P.; Gireesh G. N.; Jinsha K. A.; Vani Jayaraj

doi:10.18203/2320-6012.ijrms20192544

Authors

Arun P. Department of Medical Gastroenterology, Madras Medical College, Chennai, Tamil Nadu, India
Gireesh G. N. Department of Medical Gastroenterology, Madras Medical College, Chennai, Tamil Nadu, India
Jinsha K. A. Department of Medical Gastroenterology, Madras Medical College, Chennai, Tamil Nadu, India
Vani Jayaraj Department of Pathology, Primex Slans’d Labs, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20192544

Keywords:

Carcinoma stomach, Malignant acanthosis, Tripe palm

Abstract

Usually gastrointestinal malignancies present with low SAAG ascites. But when there is diffuse liver infiltration following malignancy, high SAAG ascites can occur. So liver infiltration can masquerade as cirrhosis. Malignant acanthosis and tripe palm are the paraneoplastic manifestations seen in GI malignancies. We are reporting a case which was initially managed as a straightforward case of cirrhosis ,but later turned out to be a case with tripe palms, malignant acanthosis and carcinoma stomach as primary with diffuse liver infiltration having high SAAG ascites.

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