Cutaneous Horns

Eva

Jedi
http://www.webmd.com/skin-problems-and-treatments/picture-of-cutaneous-horns

The cutaneous horn appears as a funnel-shaped growth that extends from a red base on the skin. It is composed of compacted keratin (the same protein in nails). The size and shape of the growth can vary considerably, but most are a few millimeters in length. Squamous cell carcinoma is often found at the base. It usually occurs in fair-skinned elderly adults with a history of significant sun exposure.

http://en.wikipedia.org/wiki/Cutaneous_horn

Cutaneous horns, also known by the Latin name cornu cutaneum, are unusual keratinous skin tumors with the appearance of horns, or sometimes of wood or coral. Formally, this is a clinical diagnosis for a "conical projection above the surface of the skin." They are usually small and localized, but can, in very rare cases be much larger. Although often benign, they can also be malignant or premalignant.
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The lesion at the base of the keratin mound is benign in the majority of cases. Malignancy is present in up to 20% of cases, with squamous cell carcinoma being the most common type. The incidence of squamous cell carcinoma increases to 37% when the cutaneous horn is present on the penis.[8] Tenderness at the base of the lesion is often a clue to the presence of a possible underlying squamous cell carcinoma.

http://healthool.com/cutaneous-horn/

This medical condition refers to the appearance of a skin lesion that is cone-shaped and appears above the surface of your skin and is a rare type of skin growth. It is also called a cornu cutaneum, which is the Latin name for the medical condition. When you look at this lesion it does resemble a small horn, thus giving it its name. At the base it can be crateriform, flat, or nodular and composed of keratin that is compacted. Although they can affect any age it is most common in older people between the ages of sixty and seventy. It is equally common in both women and men but in men there is a higher risk of this being malignant. It is also more common for people who have fair skin to have a cutaneous horn.

Most of them are curved yellow-brown horns that are hard and can either have a border of skin that is thickened or surrounded by skin that is normal. On the side of the cutaneous horn it can have horizontal ridges that appear terrace-like. Normally the cutaneous horn is taller than twice the width at the base and can vary in size from just a few millimeters to several centimeters. Many times it is described as feeling and looking like a small animal horn. Usually they will appear singularly but can be multiples and occur anywhere on your body. They are most commonly found on areas that are sun-exposed, especially on the forearms, back of the hands, head, and ears. They can also develop on the shoulder, penis, chest, and neck. Mostly they are benign but they can be pre-malignant or malignant. Approximately forty percent of these cutaneous horns represent lesions called actinic keratoses, which are pre-cancerous.

There are really no symptoms associated with this medical condition aside from the cone-shaped protuberance that comes out of a bump that varies from red/pink to skin-colored or as a lesion that is flat.

The exact cause of a cutaneous horn is still not known but what is known is that many of them appear on skin that has been over exposed to the sun. Some believe that being exposed to radiation can trigger a cutaneous horn which is evidenced by a higher rate of cutaneous horns on the hands and feet. These are the areas that are most exposed to sunlight. There have also been cases that some people have cutaneous horns that came from burn scars.

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. If the cutaneous horns are tender or sensitive at the base they are the ones that will most likely be malignant. If it was benign you need to make sure that you do follow-up visits with your dermatologist or physician to help prevent skin cancer and to make sure that they do not reoccur. If it was cancerous or pre-cancerous follow-up visits are important also to make sure that they got all the cancerous cells. You should also make sure that you are protecting any areas that are exposed to the sun, especially the area where you had a cutaneous horn removed or treated. You can do this by wearing a hat with a wide brim, wear clothes that cover your legs and arms, and wearing sunglasses. You should also apply sunscreen before you go out in the sun.

In order to know if the cutaneous horn is benign or not the dermatologist or physician will have a biopsy done. They will surgically remove the horn and do a biopsy on the cells. .
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Even if they are benign many people have them removed because they are unsightly. It does need to be removed quickly if it is found to be pre-cancerous or cancerous. One thing that you need to remember is to never attempt to remove the cutaneous horn yourself and the reason is that in order to close the wound where it was you will most likely need stitches. If it was a large cutaneous horn they may need to do skin grafting. When removing a cutaneous horn it can leave a scar.
 
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