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Wednesday, 6 July 2016

CASE 385: PLANTAR, PALMAR KERATOSIS= HOWEL- EVANS SYNDROME, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM




Man 61 yo consulted  by  right and left plantar pain. He says  it happened more one year ago with skin in foot and hand  thickening (photo)


Now he has got progressive dysphagia for one month.
Ultrasound at his neck detected  dilatation of cervical esophagus (US 1) and  one mass  intra  esophagus at  longitudinal scanning (US 2).  




Ultrasound suggestion is  tumor of cervical esophagus.
MSCT  with  oral contrast [CT 1, CT 2, CT 3] : cervical esophagus is  thickening of the wall by tumor  covered the lumen.





Endoscopy detected  exotic tumor intra esophagus lumen (endoscopic foto)  and  biosy is done.


Microscopic report is SCC (squamous cell carcinoma).


Do you see  another  case  having  relation  between  palma-plantar  keratosis and esophagus cancer ?

UPDATE= HOWEL-EVANS SYNDROME.



3 comments :

Hong Anh said...

I think this is type A of Howel Evans syndrome.
Why don't we make skin biopsy?
(this syndrome maybe associated with bronchial carcinoma, esophageal strictures, squamous cell carcinoma of the skin, and gastric and laryngeal carcinoma)

Hong Anh said...

I think this is type A of Howel Evans syndrome.
Why don't we make skin biopsy?
(this syndrome maybe associated with bronchial carcinoma, esophageal strictures, squamous cell carcinoma of the skin, and gastric and laryngeal carcinoma)

Hong Anh said...

I think this is type A of Howel Evans syndrome.
Why don't we make skin biopsy?
(this syndrome maybe associated with bronchial carcinoma, esophageal strictures, squamous cell carcinoma of the skin, and gastric and laryngeal carcinoma)