Mythology to reality: Case report on a giant cutaneous horn of the scalp in an African American female

Leppard, William M.; Loungani, Rahul S.; Saylors, Bradley; Delaney, Kevin O

doi:10.1016/j.bjps.2013.08.013

Cited by 8 publications

(4 citation statements)

References 5 publications

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“…Histopathological examination has a major role in confirmation of the clinical diagnosis as well as to rule out malignancy, metastasis, and other similar entities. A constellation of clinical presentation and histopathological analysis determines the final diagnosis [10].…”

Section: Discussionmentioning

confidence: 99%

Cutaneous Horn of Knee: A Rare Case Report

2022

austinjpathollabmed

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Cutaneous horns are uncommon lesions consist of cornified elements, occurs predominantly in sun-exposed areas mainly in old patients. A six year old girl presented with painless non-tender horn-like protrusion over right knee. The lesion was removed via surgical excision and sent for histopathological examination which confirmed the diagnosis of cutaneous horn. Accurate diagnosis and early management are mandatory steps for the prevention of the risk of transformation to malignancy and psycho-social stress owing to the bizarre appearance.

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Section: Discussionmentioning

confidence: 99%

Cutaneous Horn of Knee: A Rare Case Report

2022

austinjpathollabmed

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“…Early diagnosis and treatment is mandatory to prevent the risk of transformation to malignancy and the psychosocial stress owing to the bizarre presentation. Surgical excision remains the treatment of choice in most cases [10]. Surgical excision with 3 mm to 1 cm margins is required in most cases since there is association with malignancy [11].…”

Section: Discussionmentioning

confidence: 99%

Verrucous Carcinoma in a Giant Cutaneous Horn: A Case Report and Literature Review

Shahi

Bhandari²,

Pantha

2020

Case Reports in Otolaryngology

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Background.A cutaneous horn is a common clinical entity which usually presents as a cutaneous lesion. Because of its subtle nature, patients usually tend to present late unless the lesion is big or complications develop. Because of its resemblance to animal horn, it has been given the term "horn." Cutaneous horn seems to have a remarkable history. ough cutaneous horn is benign most of the times, chances of malignancy (20-25%) should be kept in mind. Old age, giant cutaneous horn carries more chances of transformation into malignancy like in our case. us, early diagnosis and treatment is required in all cases. Case Presentation. We report a case of a 74-year-old farmer with a cutaneous projection measuring ∼8 × 5 × 3 cm 3 over the medial surface of the right pinna for 1 year. It started as a small projection which was progressively enlarging. e primary reason behind him presenting to us was cosmetic reason since it resembled an animal horn. e projection was not associated with pain or similar lesions anywhere else in body. Understanding the malignancy risks and the cosmetic benefits, he was planned for excision biopsy of the horn. He had no systemic signs of malignancy. Histopathological reports were consistent with malignancy. Conclusions. Cutaneous horns are usually benign lesions and mostly found in the head and neck region. Because of the chances of malignancy, cutaneous horns should undergo surgical removal and biopsy for early and definitive diagnosis and management.

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“…Even though cutaneous horn is a relatively uncommon entity, different cases have been described. For example, Bo Lin et al wrote about a giant cutaneous horn on the cheek in a 83-year-old woman with an 18-year history of growth [ 1 ], Oded Nahlieli et al reported four cases occurring in the head and neck region [ 13 ], G. N. Purohit et al presented a case of a cutaneous horn following injury to pinna in a 55-year-old male farmer [ 14 ], William Leppard et al reported a case of a giant cutaneous horn of the scalp in a 52-years-old African American female [ 15 ], Michal et al described four cases of gigantic cutaneous horns of the scalp [ 16 ] and K. K. Sanjeeva et al presented a giant cutaneous horn overlying a verruca over the left gluteal region in a 64-year-old man [ 17 ]. Despite this, no one has ever focused on the causes that have allowed such an important growth of these lesions.…”

Section: Discussionmentioning

confidence: 99%