Keratoderma and Cancer

  • Unknown
  • Unknown

Malignancies associated with keratoderma:

  • Bronchial carcinoma
    • Acquired diffuse palmoplantar keratoderma
  • Breast, colon, kidney carcinoma
    • Filiform palmoplantar keratoderma
  • Lung, stomach, genitourinary carcinoma
    • “Tripe palms”; palmar thickening, accentuated ridges, with acanthosis nigricans.
  • Bazex syndrome (acrokeratosis paraneoplastica)
  • Esophageal carcinoma
    • Howel–Evans syndrome

Keratoderma associated with malignancy:

  • Huriez syndrome and palmoplantar keratoderma
    with sex reversal
    • Acral squamous cell carcinoma
  • Mutilating palmoplantar keratoderma
    • Acral melanoma and the epithelioma cuniculatum squamous cell carcinoma variant

Keratoderma associated with gene mutations:

  • SAM and SH3 domain-containing 1 gene mutation
    • Pigmentation defects, palmoplantar keratoderma, cutaneous squamous cell carcinoma

Keratoderma and malignancy associated with arsenic ingestion

  • Arsenical keratoses (10-30 years post exposure)
    • Cutaneous squamous cell carcinoma
    • Lung and genitourinary carcinoma

Pathology arsenical keratoses

  • Spectrum of benign hyperplasia to atypia to squamous cell carcinoma
  • Unknown