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An innocent giant.

Solanki LS, Dhingra M, Raghubanshi G, Thami GP - Indian J Dermatol (2014)

Bottom Line: A cutaneous horn (cornu cutaneum) is a protrusion from the skin composed of a cornified material.It may be associated with a benign, premalignant, or malignant lesion at the base, masking numerous dermatoses.This case has been reported to emphasize that a giant cutaneous horn may also occur in young patients, even in photoprotected areas, and are not always associated with malignancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Government Medical College and Hospital, Sector-32, Chandigarh, India.

ABSTRACT
A cutaneous horn (cornu cutaneum) is a protrusion from the skin composed of a cornified material. It may be associated with a benign, premalignant, or malignant lesion at the base, masking numerous dermatoses. In a 24-year-old female, a giant cutaneous horn arising from a seborrheic keratosis located on the leg is presented. This case has been reported to emphasize that a giant cutaneous horn may also occur in young patients, even in photoprotected areas, and are not always associated with malignancy.

No MeSH data available.


Related in: MedlinePlus

Hyperkeratotic horny lesion on the medial aspect of the left leg
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Figure 1: Hyperkeratotic horny lesion on the medial aspect of the left leg

Mentions: A 24-year-old female, manual labourer presented with a dark-colored, woody-hard growth over her left leg since two years. The lesion had started growing as a small nodule arising over an itchy hyperpigmented plaque, which gradually enlarged to form a large horny mass. There was a history of occasional pain and oozing over and around the lesion since 3 months. There was no history of similar lesion anywhere else on body. On examination, there was a single brownish-black, curved, woody-hard hyperkeratotic growth of size 9.5 × 6 cm along with areas of hemorrhagic crust and ulceration [Figure 1] arising over a lichenified plaque on the medial aspect of the left leg. On palpation, the base was slightly tender and indurated. There were few lichenified plaques of variable sizes along with a few areas of depigmentation over the surrounding skin. There was no regional lymphadenopathy. A differential diagnosis of cutaneous horn with either an underlying lichen simplex chronicus or squamous cell carcinoma or verrucous carcinoma was made. Excision biopsy was done along with 5 mm margins, followed by healing of the defect with secondary intention in the following 6 weeks.


An innocent giant.

Solanki LS, Dhingra M, Raghubanshi G, Thami GP - Indian J Dermatol (2014)

Hyperkeratotic horny lesion on the medial aspect of the left leg
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4248534&req=5

Figure 1: Hyperkeratotic horny lesion on the medial aspect of the left leg
Mentions: A 24-year-old female, manual labourer presented with a dark-colored, woody-hard growth over her left leg since two years. The lesion had started growing as a small nodule arising over an itchy hyperpigmented plaque, which gradually enlarged to form a large horny mass. There was a history of occasional pain and oozing over and around the lesion since 3 months. There was no history of similar lesion anywhere else on body. On examination, there was a single brownish-black, curved, woody-hard hyperkeratotic growth of size 9.5 × 6 cm along with areas of hemorrhagic crust and ulceration [Figure 1] arising over a lichenified plaque on the medial aspect of the left leg. On palpation, the base was slightly tender and indurated. There were few lichenified plaques of variable sizes along with a few areas of depigmentation over the surrounding skin. There was no regional lymphadenopathy. A differential diagnosis of cutaneous horn with either an underlying lichen simplex chronicus or squamous cell carcinoma or verrucous carcinoma was made. Excision biopsy was done along with 5 mm margins, followed by healing of the defect with secondary intention in the following 6 weeks.

Bottom Line: A cutaneous horn (cornu cutaneum) is a protrusion from the skin composed of a cornified material.It may be associated with a benign, premalignant, or malignant lesion at the base, masking numerous dermatoses.This case has been reported to emphasize that a giant cutaneous horn may also occur in young patients, even in photoprotected areas, and are not always associated with malignancy.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Government Medical College and Hospital, Sector-32, Chandigarh, India.

ABSTRACT
A cutaneous horn (cornu cutaneum) is a protrusion from the skin composed of a cornified material. It may be associated with a benign, premalignant, or malignant lesion at the base, masking numerous dermatoses. In a 24-year-old female, a giant cutaneous horn arising from a seborrheic keratosis located on the leg is presented. This case has been reported to emphasize that a giant cutaneous horn may also occur in young patients, even in photoprotected areas, and are not always associated with malignancy.

No MeSH data available.


Related in: MedlinePlus