Acanthosis Nigricans in a Patient with Lung Cancer: A Case Report

Some skin lesions may accompany malignancies. Acanthosis nigricans, one such lesion, is a paraneoplastic dermatosis characterized by hyperpigmented and velvety verrucose plaques observed as symetric eruptions. With this report, we aim to present a rare case of concomitant lung cancer and acanthosis...

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Main Authors: Duru Serap, Sever Özlem, Yüceege Melike, Dilli Alper, Albayrak Aynur, Arıkök Ata Türker, Sadik Ardıç
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/412159
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author Duru Serap
Sever Özlem
Yüceege Melike
Dilli Alper
Albayrak Aynur
Arıkök Ata Türker
Sadik Ardıç
author_facet Duru Serap
Sever Özlem
Yüceege Melike
Dilli Alper
Albayrak Aynur
Arıkök Ata Türker
Sadik Ardıç
author_sort Duru Serap
collection DOAJ
description Some skin lesions may accompany malignancies. Acanthosis nigricans, one such lesion, is a paraneoplastic dermatosis characterized by hyperpigmented and velvety verrucose plaques observed as symetric eruptions. With this report, we aim to present a rare case of concomitant lung cancer and acanthosis nigricans. Malignant acanthosis nigricans is most commonly associated with intra-abdominal malignancies. A 65-year-old patient who had hyperpigmented, hypertrophic and symmetric verrucose lesions at the flexor surfaces of the lower and upper extremities, face, palms and the axillary region. Thoracic computed tomography demonstrated a hypodense mass lesion with a dimension of 5×5.5 cm at the center of basal segment bronchi of the left pulmonary lobe. Fiberoptic bronchoscopy showed that the access to the lower left lobe was almost completely obstructed by the endobronchial lesion. The result of the histopathologic examination of the endobronchial tissue biopsy was reported as non-small cell (adenocarcinoma) lung cancer. Result of the histopathologic analysis of the punch biopsy of the skin lesions was reported as acanthosis nigricans .There are no pathognomonic dermatological findings for lung cancer. In conclusion, there are skin lesions that accompany lung cancer and we believe that these should be considered for differential diagnosis.
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spelling doaj-art-4d6aee0e31e04ea89dec44d00251b0a22025-08-20T02:38:43ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/412159412159Acanthosis Nigricans in a Patient with Lung Cancer: A Case ReportDuru Serap0Sever Özlem1Yüceege Melike2Dilli Alper3Albayrak Aynur4Arıkök Ata Türker5Sadik Ardıç6Dışkapı Yıldırım Bayazıt Education and Reserch Hospital, Chest Diseases Clinic, 06200 Ankara, TurkeyDışkapı Yıldırım Bayazıt Education and Reserch Hospital, Chest Diseases Clinic, 06200 Ankara, TurkeyDışkapı Yıldırım Bayazıt Education and Reserch Hospital, Chest Diseases Clinic, 06200 Ankara, TurkeyDışkapı Yıldırım Bayazıt Education and Reserch Hospital, Radiology, 06200 Ankara, TurkeyDışkapı Yıldırım Bayazıt Education and Reserch Hospital, 2nd Pathology Clinic, 06200 Ankara, TurkeyDışkapı Yıldırım Bayazıt Education and Reserch Hospital, 2nd Pathology Clinic, 06200 Ankara, TurkeyDışkapı Yıldırım Bayazıt Education and Reserch Hospital, Chest Diseases Clinic, 06200 Ankara, TurkeySome skin lesions may accompany malignancies. Acanthosis nigricans, one such lesion, is a paraneoplastic dermatosis characterized by hyperpigmented and velvety verrucose plaques observed as symetric eruptions. With this report, we aim to present a rare case of concomitant lung cancer and acanthosis nigricans. Malignant acanthosis nigricans is most commonly associated with intra-abdominal malignancies. A 65-year-old patient who had hyperpigmented, hypertrophic and symmetric verrucose lesions at the flexor surfaces of the lower and upper extremities, face, palms and the axillary region. Thoracic computed tomography demonstrated a hypodense mass lesion with a dimension of 5×5.5 cm at the center of basal segment bronchi of the left pulmonary lobe. Fiberoptic bronchoscopy showed that the access to the lower left lobe was almost completely obstructed by the endobronchial lesion. The result of the histopathologic examination of the endobronchial tissue biopsy was reported as non-small cell (adenocarcinoma) lung cancer. Result of the histopathologic analysis of the punch biopsy of the skin lesions was reported as acanthosis nigricans .There are no pathognomonic dermatological findings for lung cancer. In conclusion, there are skin lesions that accompany lung cancer and we believe that these should be considered for differential diagnosis.http://dx.doi.org/10.1155/2010/412159
spellingShingle Duru Serap
Sever Özlem
Yüceege Melike
Dilli Alper
Albayrak Aynur
Arıkök Ata Türker
Sadik Ardıç
Acanthosis Nigricans in a Patient with Lung Cancer: A Case Report
Case Reports in Medicine
title Acanthosis Nigricans in a Patient with Lung Cancer: A Case Report
title_full Acanthosis Nigricans in a Patient with Lung Cancer: A Case Report
title_fullStr Acanthosis Nigricans in a Patient with Lung Cancer: A Case Report
title_full_unstemmed Acanthosis Nigricans in a Patient with Lung Cancer: A Case Report
title_short Acanthosis Nigricans in a Patient with Lung Cancer: A Case Report
title_sort acanthosis nigricans in a patient with lung cancer a case report
url http://dx.doi.org/10.1155/2010/412159
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AT dillialper acanthosisnigricansinapatientwithlungcanceracasereport
AT albayrakaynur acanthosisnigricansinapatientwithlungcanceracasereport
AT arıkokataturker acanthosisnigricansinapatientwithlungcanceracasereport
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