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Image Number 4956 (Cutaneous horn)


Diagnosis: Cutaneous horn

Site: Face

Sex: M

Age: 74


Description: Large keratotic horn

Submitted by: Ted Rosen

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Differential Diagnosis


Patient presented with a large facial cutaneous horn.Notably, when pressure as applied to it, the lesion became painful. This is usually associated with malignant etiology, as opposed to a wart or seborrheic keratosis at the base. Deep shave biopsywas looked at immediately, and showed a squamous cell carcinoma at the base. The areas was then subjected to Mohs micrographic surgery.

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