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A woman's "velvety" palms exposed her lung cancer



The woman's hand next to a CT scan of her lungs.
Image : Denis Miyashiro, MD, and Jose A. Sanches New England Journal of Medicine )

The strangely textured palms of a Brazilian woman led to the discovery of a much more serious health problem: lung cancer.

According to a case report published this week in the New England Journal of Medicine, the 73-year-old woman had visited a local skin clinic with complaints of itchy and painful lesions on the palms of both hands. The symptoms had occurred for the first time nine months earlier. When the doctors looked more closely at their palms, they noticed particularly sharp lines in the natural wrinkles of the hands as well as additional ridged lines and a general "velvety appearance of both palms".

The woman had a rare disease, sometimes referred to as palmoplantar keratoderma or acanthosis nigricans of the palm . But in the 1970s, a doctor coined a more memorable name after he discovered that her patient's skin looked like a food from the stomach of cows and sheep: Kuttelpalme.

The occurrence of Kuttelpalmen is almost always associated with certain cancers, typically the stomach or lung type. In addition, the woman smoked the equivalent of a pack every day for 30 years, and also had to struggle with a nagging cough and weight loss. Not surprisingly, a CAT scan revealed that she had lung cancer.

Tripe is rare even in cancer patients. And it is still unclear why it exactly happens, although [19459] 2020 some researchers believe that cancer can somehow stimulate the overproduction of skin cells on the palm of the hand.

Even if a person's cancer is treated, it can disappear. & # 39; This did not happen in this case, and an ointment treatment did not seem to help either. And despite chemo and radiation, the woman's cancer continued to rise after six months of her treatment cycle. At the time of publication, the authors wrote that they had started another treatment but did not submit any further updates to their condition.


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