A giant cutaneous horn of oral commissure: a case report

Authors

  • Ratnakar Namdeo Department of Surgical Disciplines, All India Institute of Medical Science, New Delhi, India
  • Raghav Garg Department of Surgical Disciplines, All India Institute of Medical Science, New Delhi, India
  • Sajith K. Mohan Department of Surgery, Safdarjung Hospital and Vardhman Mahavir Medical College, New Delhi, India http://orcid.org/0000-0003-4341-6703
  • Kashinath Singh Department of Surgery, Safdarjung Hospital and Vardhman Mahavir Medical College, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20212743

Keywords:

Cutaneous horn, Lower lip, Oral commissure

Abstract

Cutaneous horn is a conical, circumscribed, dense hyperkeratotic protrusion from skin with epithelial cornification. It is also known by the Latin name ‘Cornu cutaneum’. This rare medical entity resembles animal horn but histological disparity is present between both. They are more commonly present in sun exposed sites or areas that are prone for actinic radiation, burns and hence frequently seen in forearm and upper part of face. Only few cases have been reported with cutaneous horns in unusual sites. Cutaneous horns occurring in oral cavity or perioral regions are extremely rare. The significance of knowing about this dead keratinous cutaneous horn is that it may occur as a part of or in association with a wide range of underlying pathologies, either malignant, premalignant or benign. Majority are due to benign pathologies. We report an unusual presentation of cutaneous horn in left oral commissure of a 45-year-old gentleman which is an extremely rare perioral location for such an ailment.

Author Biographies

Ratnakar Namdeo, Department of Surgical Disciplines, All India Institute of Medical Science, New Delhi, India

Department of Surgical disciplines, All India Institute of Medical Science, New Delhi

Raghav Garg, Department of Surgical Disciplines, All India Institute of Medical Science, New Delhi, India

Department of Surgical disciplines, All India Institute of Medical Science, New Delhi

Sajith K. Mohan, Department of Surgery, Safdarjung Hospital and Vardhman Mahavir Medical College, New Delhi, India

SENIOR RESIDENT SURGEON,
GENERAL SURGERY DEPARTMENT
VARDHMAN MAHAVIR MEDICAL COLLEGE AND SAFDARJUNG HOSPITAL, NEW DELHI, INDIA

Kashinath Singh, Department of Surgery, Safdarjung Hospital and Vardhman Mahavir Medical College, New Delhi, India

SENIOR RESIDENT SURGEON,
GENERAL SURGERY DEPARTMENT
VARDHMAN MAHAVIR MEDICAL COLLEGE AND SAFDARJUNG HOSPITAL, NEW DELHI, INDIA

References

Thappa DM, Laxmisha C. Cutaneous horn of eyelid. Indian Pediatr. 2004;41(2):195.

Kitagawa H, Mizuno M, Nakamura Y, Kurokawa I, Mizutani H. Cutaneous horn can be a clinical manifestation of underlying sebaceous carcinoma. Br J Dermatol. 2007;156(1):180-2.

Kumar S, Bijalwan P, Saini SK. Carcinoma buccal mucosa underlying a giant cutaneous horn: a case report and review of the literature. Case rep oncological med. 2014;15;2014.

Kumar S, Bijalwan P, Saini SK. Carcinoma buccal mucosa underlying a giant cutaneous horn: a case report and review of the literature. Case rep oncological med. 2014;15;2014.

Bondeson J, Home E, Hunter J, Horns C. a historical review. Am j dermatopathol. 2001;23(4):362-9.

Mutaf M. A rare perioral lesion: cutaneous horn of the lower lip. Eur J Plastic Surg. 2007;29(7):339-41.

Pinto-Almeida T, Oliveira A, Da Cunha Velho G, Alves R, Caetano M, Selores M. Giant cutaneous horn on the lower lip. Dermatol Online J. 2011;17(12):10.

Skoulakis C, Theos E, Chlopsidis P, Manios AG, Feritsean A, Papadakis CE. Giant cutaneous horn on squamous cell carcinoma of the lower lip. Eur J Plastic Surg. 2009;32(5):257-9.

Popadić M. Squamous cell carcinoma presenting as a giant cutaneous horn of the lower lip. Indian J Dermatol Venereol Leprol. 2014;80(1):74-6.

Arvas L, Livaoglu M, Karacal N, Sozen E, Kara B. Giant cutaneous horn with naevus sebaceus. J Plast Reconstr Aesthet Surg. 2007;60(11):1268-9.

Yu RC, Pryce DW, Macfarlane AW, Stewart TW. A histopathological study of 643 cutaneous horns. Br J Dermatol. 1991;124(5):449-52.

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Published

2021-06-28

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Section

Case Reports