Hand-Foot Syndrome or Palmar-Plantar

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Rutsanee Akaraphanth, MD
Rergchai Varatorn, MD
Chirotchana Suchato, MD


A 32-year-old man was found to have a low normal range of hematocrit (41.6-42.5%) for a period of 2 years. During a yearly check up the patient was found to be anemic with an anemia level of 31.5% (normal range, 43.5-53%). A colonoscopy examination discovered an ulcerated lesion with the medical aspect of the cecum just distal to the ileocecal junction. The biopsy specimen showed moderately differentiated adenocarcinoma. The patient underwent an exploratory laparotomy. There was no evidence of metastasis and a right hemicolectomy was performed. The pathological diagnosis revealed moderately differentiated adenocarcinoma involving the cecum with 25 negative regional lymph nodes. The tumor affected the mucosa, the submucosa, the muscular layer as well as the serosa.


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Akaraphanth R, Varatorn R, Suchato C. Hand-Foot Syndrome or Palmar-Plantar. BKK Med J [Internet]. 2013 Feb. 20 [cited 2023 Nov. 29];5:44. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/218086
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