Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Table of Contents - Year : 2017 | Month : March | Volume : 11 | Issue : 3 | Page : ZD04 - ZD05

A Giant Cutaneous Horn Projecting from Verrucous Carcinoma of Buccal Mucosa: A Rare Case Report ZD04-ZD05

Priyankar Singh, Dipesh Nathani, Shashi Ranjan, Rashmi Issar

Correspondence
Dr. Priyankar Singh,
Senior Resident, Oral and Maxillofacial Surgery, Department of Dentistry, Indira Gandhi Institute of Medical Sciences,
Patna-800014, Bihar, India.
E-mail: spriyankar@yahoo.co.in

Cutaneous horn is conical shape of compact keratin that resembles a miniature animal horn. Though morphologically similar to horns in animals they are histologically very different from them. It is a circumscribed, conical, hyperkeratotic dense protrusion with epithelial cornification above the skin surface in response to a wide range of underlying benign and malignant pathological changes. Though benign, a cutaneous horn holds the potential to be premalignant or malignant. In India till now six cases has been reported with cutaneous horn at various unusual sites. We report a unique case of 52-year-old woman with a giant cutaneous horn at left oral commissure with underlying verrucous carcinoma of left buccal mucosa which is a very rare location for such lesion. Considering its malignant potential, adequate therapy requires wide excision with a tumour-free margin of at least 1 cm, particularly in the facial region where the incidence of malignancy is higher.