Tripe palms is a cutaneous paraneoplastic syndrome.
Any patient with tripe palms must have a complete cancer workup, especially for lung and stomach cancer. This skin condition rarely appears as an isolated event. We describe a patient who had tripe palms associated with pulmonary carcinoma. Fine-needle aspiration of the tumor showed adenocarcinoma. No abdominal masses were seen on a CT scan, and a bone scan was negative for metastatic disease.