Hemostasis Today

August, 2026
August 2026
M T W T F S S
 12
3456789
10111213141516
17181920212223
24252627282930
31  
Kamlesh Darji: Paraneoplastic Syndromes – Tumor with or without Mediator
Aug 24, 2026, 16:21

Kamlesh Darji: Paraneoplastic Syndromes – Tumor with or without Mediator

Kamlesh Darji, Senior Resident – Department of Pathology at AIIMS (All India Institute of Medical Sciences, New Delhi), shared a post on X:

Paraneoplastic Syndromes : Tumor with or without Mediator

Endocrine

1. SIADH with hyponatremia : small cell lung carcinoma : ADH

2. Cushing syndrome : small cell lung carcinoma : ectopic ACTH

3. Hypercalcemia without bone metastasis : squamous cell carcinoma of lung, renal cell, breast, HTLV1 adult T cell leukemia : PTHrP

4. Hypocalcemia : osteoblastic metastases (prostate) : calcium consumption

5. Hypoglycemia : hepatocellular carcinoma, fibrosarcoma, mesothelioma : IGF2

6. Polycythemia : renal cell carcinoma, hepatocellular carcinoma, cerebellar hemangioblastoma, uterine leiomyoma : erythropoietin

7. Carcinoid syndrome (flushing, diarrhea, right sided valve disease) : carcinoid with liver metastases or bronchial carcinoid : serotonin

Neurologic

8. Lambert Eaton myasthenic syndrome : small cell lung carcinoma : anti P/Q type voltage gated calcium channel antibody

9. Myasthenia gravis : thymoma : anti acetylcholine receptor antibody

10. Subacute cerebellar degeneration : ovarian, breast, small cell lung : anti Yo, anti Hu, anti Tr

11. Limbic encephalitis : small cell lung : anti Hu

12. Opsoclonus myoclonus (dancing eyes, dancing feet) : neuroblastoma in children, small cell lung in adults

13. Anti NMDA receptor encephalitis : ovarian teratoma

Hematologic

14. Migratory thrombophlebitis (Trousseau sign) : pancreatic, lung, gastric adenocarcinoma : mucin and tissue factor

15. Nonbacterial thrombotic (marantic) endocarditis : mucinous adenocarcinoma

16. Disseminated intravascular coagulation : acute promyelocytic leukemia, adenocarcinoma

17. Eosinophilia : Hodgkin lymphoma, mycosis fungoides : IL5

Dermatologic

18. Acanthosis nigricans : gastric adenocarcinoma : TGF alpha

19. Seborrheic keratoses erupting suddenly (Leser Trelat sign) : gastric and other GI adenocarcinoma

20. Dermatomyositis (heliotrope rash, Gottron papules) : ovarian, lung, gastric

21. Sweet syndrome (acute febrile neutrophilic dermatosis) : acute myeloid leukemia

22. Pemphigus (paraneoplastic) : non Hodgkin lymphoma, CLL, Castleman disease

23. Necrolytic migratory erythema : glucagonoma

Musculosceletal and renal

24. Hypertrophic osteoarthropathy with clubbing : lung adenocarcinoma (not small cell)

25. Membranous nephropathy : solid tumors, especially lung and colon

26. Minimal change disease : Hodgkin lymphoma

27. Amyloidosis (AL type) : multiple myeloma, plasma cell dyscrasia

Paraneoplastic means the tumor is speaking through a molecule. Name the molecule and the tumor follows automatically.

Tumor follows… my friend.”

Stay updated with Hemostasis Today.