Carlos Ricotti, MD Fellow, Department of Dermatology, Division of Dermatopathology, University of Texas Southwestern School of Medicine, Carlos Ricotti, MD is a member of the following medical societies: American Academy of Dermatology, American Medical Association, American Society of Dermatopathology, and International Society of Dermatopathology, Nancy Silvis, MD Medical Director of Dermatology Clinic, Assistant Professor, Department of Internal Medicine, Adobe Dermatology. A typical presentation of a cutaneous horn on the ear. Sandbank M. Basal cell carcinoma at the base of cutaneous horn (cornu cutaneum). 1985 Aug. 29(4):237-9. [Medline]. 121(7):837-8. New York: McGraw-Hill, 2003. Bondeson J. Everard Home, John Hunter, and cutaneous horns: a historical review. 2009 Feb. 76(2):92-5. Cutaneous Horn-Related Kaposi's Sarcoma: A Case Report. Fatani MI, Hussain WM, Baltow B, Alsharif S. Cutaneous horn arising from an area of discoid lupus erythematosus on the scalp. Treatments Your Physician May Prescribe. Excise malignancies with appropriate margins. R Stan Taylor, MD is a member of the following medical societies: American Academy of Dermatology, American College of Mohs Surgery, American Medical AssociationDisclosure: Nothing to disclose. Cutaneous horns can and should be removed by shave biopsy, ensuring sufficient tissue depth to allow for evaluation of possible dermal invasion. [Medline]. A cutaneous horn, also known as cornu cutaneum, refers to a specific appearance of a skin lesion in which a cone-shaped protuberance arises on the skin caused by overgrowth of the most superficial layer of skin (epidermis). A biopsy may be needed to assess whether the lesion is benign, precancerous, or cancerous. A cutaneous horn morphologically refers to cohesive keratinized material protruding above the skin surface . Cutaneous horns may also overlie skin cancer. Dermatol Surg. Although often benign, they can also be malignant or premalignant. Br J Dermatol. Mantese SA, Diogo PM, Rocha A, Berbert AL, Ferreira AK, Ferreira TC. J Med Case Rep. 2007 Dec 5. Please confirm that you would like to log out of Medscape. In this case, your veterinarian might suggest surgically removing them. 1986 Aug. 13(4):312-8. 1. If the lesion is precancerous, the lesion may be freezed using liquid nitrogen and topical chemotherapy is … Other diagnoses require follow-up as routinely recommended for that entity. Keratin is also found in nails and hair. Arch Dermatol. Goette DK. A case of cutaneous horn originating from keratoacanthoma. [Medline]. The physician will conduct several test to make sure that it is not cancer or pre-cancerous. Procedures, encoded search term (Cutaneous Horn) and Cutaneous Horn, Sturge-Weber Syndrome Imaging and Diagnosis, Ex Vivo Confocal Microscopy: Revolution in Fast Pathology in Dermatology, Pruritus Secondary to Primary Biliary Cholangitis, Diagnostic Criteria for Small Fibre Neuropathy in Clinical Practice and Research, Nonmelanoma Skin Cancers You Need to Know, More Evidence for Lower Risk With Certain Blood Groups, Baby Gets Cancer From Mother During Birth: First Report, Pandemic Epiphany: Medicine Isn't Worth It, A Seismic Shift -- and a Grand 'Experiment' -- in Colorectal Cancer Screening, Venous Thromboembolism Clinical Practice Guidelines (ASH, 2020). Seek medical evaluation if a cutaneous horn is noted. Local destruction with cryosurgery is first-line treatment for verruca vulgaris, actinic keratosis, and molluscum contagiosum. 43(1):92-3. 1991 May. 1999. 2014 Aug. 41(8):650-6. Cutaneous horns differ from animal horns by absence of an axially positioned, well-formed bone. In the case of benign lesions at the base of the horn, the biopsy is both diagnostic and therapeutic. Am J Dermatopathol. Progression of penile cutaneous horn to squamous cell carcinoma: A case report. It is associated with a large variety of benign, premalignant, and malignant lesions at the base, thus masking the true diagnosis. 1056568-overview Approximately 40% of cutaneous horns represent precancerous lesions called actinic keratoses. Because the mechanism of the cutaneous horn is not well understood, the effect of medication varies significantly from case to case. Cutaneous horn is a slowly progressive keratinized skin lump in an antler-like configuration. [Medline]. If the lesion is precancerous, your physician may: Cutaneous horn overlying granular cell tumor. [Medline]. In order to rule out a malignancy, it is essential to perform a biopsy of the lesion that includes the base of the horn. These skin horns often have pre-cancerous or even sometimes cancerous cells in the base. Case Rep Oncol Med. [Medline]. Am J Dermatopathol. Giant keratoacanthoma-like cutaneous horn of the upper leg: A case report. Carcinoma buccal mucosa underlying a giant cutaneous horn: a case report and review of the literature. 1973 Nov. 90(5):380-1. 2001;23:362-9 BMJ Case Rep. 2017 Aug 18. Diseases & Conditions, 2002 Oncol Lett. Cutaneous horn in glans penis: a new clinical case. 156(1):180-2. Cutaneous horn arising in chronic discoid lupus erythematosus. a board certified Dermatologist and skin care specialist based in Orlando, Florida. Jan 17, 2021 (CDN Newswire via Comtex) -- Global Cutaneous Horn Treatment Market 2020 by … A cutaneous horn is a conical, dense, hyperkeratotic protrusion that often appears similar to the horn of an animal. Seek medical evaluation if a cutaneous horn is noted. Cutaneous Horn Treatment Before any treatment is administered, it is important to determine if lesions are benign or malignant to ensure proper treatment approach and attention is given. Diagnosis and Treatment. The cutaneous horn appears as a funnel-shaped growth that extends from a red base on the skin. Fiona Larsen, MBChB, FRACP Dermatologist/Dermatopathologist, Private Practice; Consultant Dermatologist, Waitemata District Healthboard, Disclosure: Nothing to disclose. A cutaneous horn is a type of lesion or growth that appears on the skin. R Stan Taylor, MD The JB Howell Professor in Melanoma Education and Detection, Departments of Dermatology and Plastic Surgery, Director, Skin Surgery and Oncology Clinic, University of Texas Southwestern Medical Center Dermatol Surg. The incidence of the tumour is higher in purebred dogs, with a particular predisposition in the Norwegian Elkhound. 6th ed, pp.721-723, 740. Gould JW, Brodell RT. William D James, MD is a member of the following medical societies: American Academy of Dermatology, Society for Investigative DermatologyDisclosure: Received income in an amount equal to or greater than $250 from: Elsevier; WebMD. If the lesion is benign, no further treatment may be needed.If the lesion is precancerous, the physician may: If the lesion is cancerous, the physician may: Bolognia, Jean L., ed. 2010. [Medline]. 2007 Aug. 33(8):997-9. Dermatology, pp.1715. [Medline]. Leppard W, Loungani R, Saylors B, Delaney K. Mythology to reality: case report on a giant cutaneous horn of the scalp in an African American female. Cutaneous horn of the penis: its association with squamous cell carcinoma and HPV-16 infection. If the cutaneous horn is benign usually there is no treatment that needs to be done but you do need to see a dermatologist or physician in order to make sure that it is not pre-cancerous or cancerous. [Full Text]. If the lesion is benign, no further treatment may be needed. Scand J Urol Nephrol. Edward F Chan, MD Clinical Assistant Professor, Department of Dermatology, University of Pennsylvania School of Medicine 2014 Nov. 59(6):633. [Medline]. Ann Dermatol. Int J Dermatol. [Full Text]. 1997 Dec. 39(6):654-5. [Medline]. Pediatr Dermatol. Arch Ophthalmol. [Medline]. Giant cutaneous horn: a patient report. [Medline]. Because there are often multiple possible treatment modalities for cutaneous lesions, clinicians should consider factors unique to the patient when selecting treatment. J Surg Oncol. 2009. Case Report Med. A biopsy may be needed to assess whether the lesion is benign, precancerous, or cancerous. Orlando Cutaneous Horn Treatment. There are reports of cutaneous horns associated with HPV and sun-exposure [2,3]. [Full Text]. Georgy JT, Mathuram AJ, George AA, Chandramohan J. Renal cell carcinoma presenting as a cutaneous horn and nodules on the gingiva and scalp. This website also contains material copyrighted by 3rd parties. Br J Dermatol. 2014 Sep. 8(3):1211-1213. Giant Cutaneous Horn Arising in an Epidermal Nevus. Cutaneous horns most often occur in adults, usually elderly, fair-skinned individuals with a history of significant sun exposure. 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