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Cutaneous Horns
A cutaneous horn is composed of compacted keratin. They most often occur on sun-exposed areas and appear as a hard cone-shaped protuberance arising from a skin-coloured to red/pink bump or flat lesion. They arise on the skin caused by overgrowth of the most superficial layer of skin (epidermis) and are not a particular lesion but are a reaction pattern of the skin.
Various histologic lesions have been documented at the base of the keratin mound, and histologic confirmation is often necessary to rule out malignant changes with up to 40% (approx.) of cutaneous horns representing precancerous lesions called actinic keratoses. Cutaneous horns may also appear over skin cancer when overlying cancerous skin, squamous cell carcinoma is typically at the base of the cutaneous horn, but basal cell carcinoma is also possible.
Cutaneous horns most often occur in adults, usually elderly, fair-skinned individuals with a history of significant sun exposure.
Our Danne Harley Street Clinic provides Cutaneous Horn Removal throughout London, Berkshire, Essex, Hertfordshire, Kent, Middlesex and Surrey. Call 020 7291 4449 for more information.