An innocent giant

Solanki, Lakhan Singh; Dhingra, Mandeep S; Raghubanshi, Gunjan; Thami, Gurvinder P.

doi:10.4103/0019-5154.143582

Cited by 7 publications

(3 citation statements)

References 7 publications

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“…Individuals aged >50 years tend to be most affected, but cutaneous horns can also occur in young patients even on photoprotected areas. 6 Surgery is the initial treatment, primarily involving excisional biopsy of the lesion. The final pathologic diagnosis determines the definitive therapy.…”

Section: Discussionmentioning

confidence: 99%

Giant cutaneous horn associated with squamous cell carcinoma

Kneitz¹,

Motschenbacher²,

Wobser³

et al. 2015

J Dermatol Case Rep

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Cutaneous horn is a relatively uncommon lesion, also known by the Latin name "Cornu cutaneum". Although there are multiple reports of cutaneous horns, giant cutaneous horns are much rarer. Cutaneous horns resemble animal horns at first glance. Most of them develop on face and scalp, but any part of the body can be involved.A 90-year-old woman presented with a nineyear history of a large cutaneous horn arising at her right cheek. No history of trauma could be elicited. The patient had a history of long-term sun exposure due to farm activities and had solar keratosis on face and extremities. Clinical examination revealed actinic keratosis on left forehead and firm keratinized conical lesion with a height of 5 cm (Fig. 1) on right cheek. There was no regional lymphadenopathy. Excision of the lesion with an elliptical incision and primary closure of defect was done. Histopathological examination revealed a completely excised cornu cutaneum with a well-differentiated squamous cell carcinoma at its base (Fig. 2). 27 PHOTOLETTER TO THE EDITOR AbstractA 90-year-old patient presented with a large cutaneous horn (cornu cutaneum) of nine-year duration arising at her right cheek. The lesion was removed by surgery. Histology was reported as cornu cutaneum with a well-differentiated squamous cell carcinoma at its base. Cutaneous horn is morphological designation for protuberant mass of keratin that resembles the horn of an animal. Such lesions appear on sun-exposed skin areas like upper parts of the face and ears in elderly patients. Large cutaneous horns (> 1 cm) tend to be more commonly associated with squamous cell carcinoma compared to smaller cutaneous horns, particularly when present on the face. (J Dermatol Case Rep. 2015; 9(1): 27-28)

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Section: Discussionmentioning

confidence: 99%

Giant cutaneous horn associated with squamous cell carcinoma

Kneitz¹,

Motschenbacher²,

Wobser³

et al. 2015

J Dermatol Case Rep

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“…Morphologically, a cutaneous horn greater than 1 cm in height is rarely seen. Moreover, photoprotected (non-sun-exposed) areas of the skin are unusual locations for cutaneous horns (Solanki, Dhingra, Raghubanshi & Thami, 2014;Nair, Chaudhary & Mehta, 2013). The occurrence of a cutaneous horn on a toe is also uncommon.…”

Section: Discussionmentioning

confidence: 99%

A Cutaneous Horn Mimicking Polydactyly: A Case Report

Tamer¹,

Yüksel²

2015

EMHPJ

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A cutaneous horn is a general name for cornified material protruding from skin. On the other hand, polydactyly is a common congenital anomaly of the hand and foot which is characterized by extra finger or toe. A cutaneous horn might mimick polydactyly by resembling an extra toe. Hereby, we present a 72-year-old white Caucasian male with an extra toe-like projection on his fourth toe. Initially, polydactyly was suspected, however a cutaneous horn was also considered. The lesion was surgically removed. The histopathological examination of the specimen revealed hyperkeratosis, and thus confirmed the lesion to be a cutaneous horn.

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“…[1,2,24,26,37] Giant horns are often associated with malignancy, though it is not a rule. [23,30,[40][41][42] Pyne et al [43] studied clinical and dermoscopic features of 163 consecutive CC patients and correlated them with the histopathology of the base of the horn. Microscopic study revealed 49 benign keratoses, 21 actinic keratosis, 37 SCC in situ, and remaining 56 invasive SCC.…”

Section: Clinical Featuresmentioning

confidence: 99%

Cornu cutaneum – Past and present

Srivastava¹,

Srivastava

2021

CSDM

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Cutaneous horn has been a source of controversy throughout the history. It evoked interest nearly half a millennium before and continues to do so. Cornu cutaneum has been found to be associated with several pre-malignant and malignant skin conditions. The pre-malignant conditions commonly include actinic keratoses and Bowen’s disease. Uncommonly, it is due to the presence of an underlying squamous cell carcinoma. Thus, an effort is needed to determine the pathology present at the base of the horn for proper management of the disease. Wide excision biopsy is a common denominator in the therapy of this peculiar disorder.

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An innocent giant

Cited by 7 publications

References 7 publications

Giant cutaneous horn associated with squamous cell carcinoma

Giant cutaneous horn associated with squamous cell carcinoma

A Cutaneous Horn Mimicking Polydactyly: A Case Report

Cornu cutaneum – Past and present

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